Individual
GERARDO ROMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Mailing address
290 IOOF AVE, GILROY, CA 95020-5204
(408) 846-2100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
119657
CA
1041C0700X
Clinical Social Worker
119657
CA
Other
Enumeration date
05/15/2023
Last updated
12/15/2023
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