BRYAN GLEN PRINCE

FT. RUCKER, AL
NPI1134409956
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: TX  B1901448)
Enumeration Date2011-08-24
Last Update Date2011-08-24
Business Address
BRYAN GLEN PRINCE
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362-5333
Phone number: 334-255-7000
Mailing Address
BRYAN GLEN PRINCE
BLDG 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT. RUCKER, AL 36362-5333
Phone number: 334-255-7000