Eliza Johanna Roman

NPI 1295068104 - Rehabilitation Practitioner - 225400000X

NPI Details
NPI 1295068104
Gender Female
Enumeration Date 09/09/2009
Last Updated 09/11/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3125 N BROADWAY
LOS ANGELES CA, 90031-2703, US
Phone (323) 222-4591
Fax (323) 222-4614
Business Location
3125 N BROADWAY
LOS ANGELES CA, 90031-2703, US
Phone (323) 222-4591
Fax (323) 222-4614
Toxanomy
Taxonomy Code 225400000X
License State
License Number
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According to our database, Eliza Johanna Roman NPI is 1295068104, taxonomy code is 225400000X Eliza Johanna Roman physically located at 3125 N Broadway, Los Angeles CA, 90031-2703. NPI Number Eliza Johanna Roman has the Individual type.

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1295068104 NPI number is provided on an as is basis without warranty of any kind. 1295068104 is maintained by the National Plan & Provider Enumeration System. The contents of Eliza Johanna Roman are for informational purposes only.