Provider Demographics
NPI:1407566938
Name:PALOMINO, ROMINIQUE RENEE (PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:ROMINIQUE
Middle Name:RENEE
Last Name:PALOMINO
Suffix:
Gender:F
Credentials:PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5909 SHORT CAKE LN
Mailing Address - Street 2:
Mailing Address - City:JOSHUA
Mailing Address - State:TX
Mailing Address - Zip Code:76058-6402
Mailing Address - Country:US
Mailing Address - Phone:817-933-2394
Mailing Address - Fax:
Practice Address - Street 1:5909 SHORT CAKE LN
Practice Address - Street 2:
Practice Address - City:JOSHUA
Practice Address - State:TX
Practice Address - Zip Code:76058-6402
Practice Address - Country:US
Practice Address - Phone:817-933-2394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-23
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy