Provider Demographics
NPI:1245879519
Name:ROMANO, SASHA J (LVN)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:J
Last Name:ROMANO
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5814 VALPARAISO WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2324
Mailing Address - Country:US
Mailing Address - Phone:360-290-1393
Mailing Address - Fax:
Practice Address - Street 1:5814 VALPARAISO WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2324
Practice Address - Country:US
Practice Address - Phone:360-290-1393
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX345961164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse