Individual
DEBORAH PALMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2060 HUNTINGTON DR STE 5, SAN MARINO, CA 91108-2044
(626) 570-1993
(626) 570-4993
Mailing address
2060 HUNTINGTON DR STE 5, SAN MARINO, CA 91108-2044
(626) 570-1993
(626) 570-4993
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
BL 001681
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02525F
—
CA
Enumeration date
07/26/2006
Last updated
11/24/2008
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