Provider Demographics
NPI:1760727622
Name:ROMERO, MARIA CARMEN (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:CARMEN
Last Name:ROMERO
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 B STREET
Mailing Address - Street 2:CALIFORNIA ACUPUNCTURE CENTER
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94612
Mailing Address - Country:US
Mailing Address - Phone:510-733-0288
Mailing Address - Fax:
Practice Address - Street 1:1025 B ST
Practice Address - Street 2:CALIFORNIA ACUPUNTURE CENTER
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541
Practice Address - Country:US
Practice Address - Phone:510-733-0288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-04
Last Update Date:2012-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29029171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist