Individual
CONSUELO CRYSTAL ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9015 MURRAY AVE STE 100, GILROY, CA 95020-3675
(831) 637-1094
Mailing address
660 AMERICAN CT, HOLLISTER, CA 95023-8940
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2021
Last updated
08/21/2025
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