Individual
MRS. ROSSLYN MICHELLE PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDR TRANSPORTATION
Contact information
Practice address
2230 LAKE PARK DR SPC 168, SAN JACINTO, CA 92583-7568
(951) 487-2317
Mailing address
2230 LAKE PARK DR SPC 168, SAN JACINTO, CA 92583-7568
(951) 487-2317
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
039131
CA
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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