Individual
ROMAN GURROLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2301 YALE BLVD SE BLDG F, ALBUQUERQUE, NM 87106-4228
(505) 272-7033
Mailing address
2301 YALE BLVD SE BLDG F, ALBUQUERQUE, NM 87106-4228
(505) 272-7033
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
NM
Other
Enumeration date
11/28/2017
Last updated
10/29/2021
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