Individual
LARRY W. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HEALTH SERVICES TECH
Contact information
Practice address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7275
(707) 765-7495
Mailing address
599 TOMALES RD, PETALUMA, CA 94952-5002
(707) 765-7275
(707) 765-7495
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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