Individual
CLIFTON JAMAR PREMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
13517 W GLENDALE AVE, APT 1135, GLENDALE, AZ 85307-2010
(602) 832-2614
Mailing address
13517 W GLENDALE AVE, APT 1135, GLENDALE, AZ 85307-2010
(602) 832-2614
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
010733
AZ
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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