Provider Demographics
NPI:1356982318
Name:ROMERO, LINDA BEATRICE
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:BEATRICE
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 1:2271 LANGTREE DR
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95747-8081
Mailing Address - Country:US
Mailing Address - Phone:916-221-0366
Mailing Address - Fax:
Practice Address - Street 1:2271 LANGTREE DR
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95747-8081
Practice Address - Country:US
Practice Address - Phone:916-221-0366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider