Individual
JODI CLARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
280 1ST ST BLDG 15, HOLLOMAN AFB, NM 88330-8273
(575) 572-7985
Mailing address
280 1ST ST BLDG 15, HOLLOMAN AFB, NM 88330-8273
(575) 572-7985
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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