Individual
CECILIA ROMO DIVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 PRAIRIE CITY RD, FOLSOM, CA 95630-9594
(916) 351-4800
(916) 351-4899
Mailing address
760 CORTLANDT DR, SACRAMENTO, CA 95864-7251
(916) 838-4423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A113360
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EFFECTIVE 11/15/2013
—
CA
Enumeration date
04/27/2009
Last updated
11/13/2024
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