Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225400000X | Rehabilitation Practitioner |
NPI | 1013231521 |
---|---|
Provider Name | Romana Barajas |
First Address | Pasadena, CA 91105-2048 |
Second Address | Commerce, CA 90040-2973 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2010 |
Last Update Date | 08/04/2014 |