Individual
RAFAEL ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
521 E PARK ST, ONTARIO, CA 91761-1724
(909) 229-7153
Mailing address
521 E PARK ST, ONTARIO, CA 91761-1724
(909) 229-7153
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 20676
CA
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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