RYAN MICHAEL WALLACE

BUZZARDS BAY, MA
NPI1003891920
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: CA  B1552861)
Enumeration Date2005-12-14
Last Update Date2007-07-08
Business Address
Mr. RYAN MICHAEL WALLACE HEALTH SERVICES TECH
5201 LEE RD
BUZZARDS BAY, MA 02542-1313
Phone number: 508-968-6572
Mailing Address
Mr. RYAN MICHAEL WALLACE HEALTH SERVICES TECH
5425 CARPENTER AVE APT A
BUZZARDS BAY, MA 02542-1587
Phone number: 508-968-6572
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