Palecek,inc. | |
260 H Ave Coronado CA 92118-1222 | |
(619) 519-2554 | |
Not Available |
Full Name | Palecek,inc. |
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Speciality | Psychologist |
Location | 260 H Ave, Coronado, California |
Authorized Official Name and Position | Glory Ann Palecek (PRESIDENT) |
Authorized Official Contact | 6195192554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Palecek,inc. 260 H Ave Coronado CA 92118-1222 Ph: (619) 519-2554 | Palecek,inc. 260 H Ave Coronado CA 92118-1222 Ph: (619) 519-2554 |
NPI Number | 1679827778 |
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Provider Enumeration Date | 10/29/2012 |
Last Update Date | 10/29/2012 |
Medicare PECOS PAC ID | 3173768777 |
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Medicare Enrollment ID | O20130403000122 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679827778 | NPI | - | NPPES |
1508193491 | Other | CA | TRICARE |
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