Individual
GORETTI JACQUELINE ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 737-2962
Mailing address
2813 S MAIN ST, CORONA, CA 92882-5942
(951) 737-2962
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APCC17627
LICENSE
CA
Enumeration date
10/05/2023
Last updated
01/27/2025
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