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Individual

MR. JAKOB R SALOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CNMT, RT (N)

Contact information

Practice address
1409 AVE ASHFORD, SAN JUAN, PR 00907-1435
(787) 721-7979
Mailing address
1303 AVE MAGDALENA APT 803, SAN JUAN, PR 00907-1917
(787) 217-5141

Taxonomy

Speciality
Code
Description
License number
State
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
0892
PR
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
Primary
CRT72895
FL

Other

Enumeration date
01/08/2009
Last updated
01/08/2009
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