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Individual

KIANNA AILIEN ROMERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
645 WOOL CREEK DR, SAN JOSE, CA 95112-2617
(408) 283-6151
Mailing address
30 AZUL CT, HOLLISTER, CA 95023-3202

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
08/10/2022
Last updated
08/10/2022
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