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Individual

MRS. CHANTEL C ROMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
383 E 139TH ST, ROOM 100, BRONX, NY 10454-2751
(718) 292-4623
(718) 292-4568
Mailing address
383 E 139TH ST, ROOM 100, BRONX, NY 10454-2751
(718) 292-4623
(718) 292-4568

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
594985
NY

Other

Enumeration date
03/23/2012
Last updated
03/23/2012
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