Individual
MARC PALMONES VILLANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
701 HOSPITAL LOOP BLDG 9000, FAIRCHILD AFB, WA 99011-8704
(509) 247-5661
Mailing address
1610 S DEER HEIGHTS RD, APT # L14, SPOKANE, WA 99224-5191
(425) 308-9586
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/04/2013
Last updated
10/04/2013
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