Individual
JAROM PALMER RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
4102 PINION DR, USAFA, CO 80840-2502
(719) 333-5187
Mailing address
4929 W LEIGHSON AVE, VISALIA, CA 93291-7860
(559) 302-6969
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
04/11/2025
Last updated
04/11/2025
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