Individual
JESUS PALOMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1911 S 45TH DR, YUMA, AZ 85364-4890
(928) 261-5913
Mailing address
1911 S 45TH DR, YUMA, AZ 85364-4890
(928) 261-5913
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/23/2013
Last updated
08/23/2013
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