Organization
PARAMOUNT IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MINDY K WAKEMAN CNIM (OWNER/OPERATOR)
(970) 405-0319
Entity
Organization
Contact information
Practice address
592 TRAILDUST DR, MILLIKEN, CO 80543-3030
(970) 405-0319
Mailing address
592 TRAILDUST DR, MILLIKEN, CO 80543-3030
(970) 405-0319
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/25/2016
Last updated
02/25/2016
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