IndividualActive
Larry Payne, HEALTH SERVICES TECH
NPI 1679732143 · Independent Duty Medical Technicians · Petaluma, CA
Provider details
- NPI number
- 1679732143
- Entity type
- Individual
- Primary specialty
- Independent Duty Medical TechniciansOther Service Providers
- Credential
- HEALTH SERVICES TECH
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
599 Tomales Rd
Petaluma, CA 94952-5002
Phone: (707) 765-7275
Fax: (707) 765-7495
Approximate (ZIP-level) locationGet directions
Mailing address
599 Tomales Rd
Petaluma, CA 94952-5002
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2008-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.