Individual
JENOVEVA ROMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
536 S AVENUE B, KERMIT, TX 79745-4808
(432) 208-4828
Mailing address
536 S AVENUE B, KERMIT, TX 79745-4808
(432) 208-4828
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
190925
TX
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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