Individual
VANESSA ROMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
322 CULVER BLVD # 1182, PLAYA DEL REY, CA 90293-7704
(323) 403-8058
Mailing address
322 CULVER BLVD # 1182, PLAYA DEL REY, CA 90293-7704
(323) 403-8058
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95036236
CA
Other
Enumeration date
07/25/2025
Last updated
08/08/2025
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