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Individual

ROSALVA ROMERO

Active
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Individual

ROSALVA ROMERO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP, PA-C

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA14038
CA
363L00000X
Nurse Practitioner
470406
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
470406
RN LICENSE NUMBER
CA
01
PA14038
PA LICENSE NUMBER
CA
Enumeration date
10/27/2006
Last updated
08/02/2016
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