Individual
RONALD MEREL HUSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SFIDC
Contact information
Practice address
USS FORD FFG 54, ATTN MEDICAL DEPARTMENT, FPO AP, WA 96665-1508
(425) 304-5204
(425) 304-5202
Mailing address
10705 130TH AVE NE, LAKE STEVENS, WA 98258-8878
(360) 657-5473
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
CA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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