Individual
JEREMIAH JAMES PALICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CRNA
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 694-0111
Mailing address
6968 W TACNA DR, TUCSON, AZ 85743-1422
(520) 603-2259
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN210075
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
0024187576
VA
Other
Enumeration date
08/18/2020
Last updated
12/09/2024
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