Provider Demographics
NPI:1801193115
Name:ROMERO, YVETTE MARGARET
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:MARGARET
Last Name:ROMERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1583 LORENA DR
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-5093
Mailing Address - Country:US
Mailing Address - Phone:805-248-3082
Mailing Address - Fax:
Practice Address - Street 1:1583 LORENA DR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-5093
Practice Address - Country:US
Practice Address - Phone:805-248-3082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-23
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program