Individual
JERAMY BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Contact information
Practice address
9410 A VERMONT COURT, CLOVIS, NM 88101
(202) 360-9536
Mailing address
9410 VERMONT CT APT A, CLOVIS, NM 88101-9286
(202) 360-9536
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
10/18/2010
Last updated
11/03/2011
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