Certifications for JERRY L NELLUM

Patient ID:
NJ184591
Name:
JERRY L NELLUM
Status:
Inactive
Total Certifications:
1
Patient Certifications (1 total)
Certification Type Start Date End Date Status Document Created Actions
[G0179] - 485 Recertification
N/A 05/14/2022 07/12/2022 Active
Document Available
2cf2ff93-4a76-4...
07/03/2025