Individual
MR. BROCK ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
162 GROVE ST STE J, BISHOP, CA 93514-2652
(760) 873-5633
Mailing address
162 GROVE ST STE J, BISHOP, CA 93514-2652
(760) 873-5633
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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