Individual
CRYSTAL M ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 S EASTERN AVE, LAS VEGAS, NV 89119-5174
(702) 738-2482
Mailing address
3950 S EASTERN AVE STE 100, LAS VEGAS, NV 89119-5174
(702) 738-2482
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B14820541
—
AZ
Enumeration date
03/19/2018
Last updated
03/19/2018
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