MRS. Diantha C Palm

NPI #1013049949 in Lorain, Ohio

Provider Information

NPI Number: 1013049949
Entity Type: Individual
Name: MRS. Diantha C Palm
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Enumeration Date: Mar 9, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 504 COOPER FOSTER PARK RD W
City: Lorain
State: Ohio
ZIP Code: 44053-3729
Phone: (440) 233-6899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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