Individual
GRACE MARIE RIVERA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1016 BRONX PARK S, APT 5R, BRONX, NY 10460-1680
(347) 285-7289
Mailing address
1016 BRONX PARK S, APT 5R, BRONX, NY 10460-1680
(347) 285-7289
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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