Individual
MARIZA ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5007 KENNETH AVE, FAIR OAKS, CA 95628-5329
(530) 746-1512
Mailing address
PO BOX 5157, MODESTO, CA 95352-5157
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
11/08/2019
Last updated
04/18/2025
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