Individual
VANESSA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2358 BALLARD COVE RD, KISSIMMEE, FL 34758-2251
(407) 994-6637
Mailing address
2358 BALLARD COVE RD, KISSIMMEE, FL 34758-2251
(407) 994-6637
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
03/10/2009
Last updated
10/26/2017
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