Individual
ABIGAIL ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA
Contact information
Practice address
47 AGNES ST, OAKLAND, CA 94618-2522
(773) 307-9137
Mailing address
47 AGNES ST, OAKLAND, CA 94618-2522
(773) 307-9137
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56717
CA
Other
Enumeration date
09/22/2018
Last updated
04/10/2019
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