Individual
CECILIA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1160 S GRAND AVE, GLENDORA, CA 91740-5000
(626) 335-5980
Mailing address
1256 S SAN ANTONIO AVE, ONTARIO, CA 91762-5052
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
37523
CA
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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