ATHAN ANDERSON

PORTSMOUTH, VA
NPI1215957469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: CA  B1625287)
Enumeration Date2006-07-20
Last Update Date2007-07-08
Business Address
Mr. ATHAN ANDERSON
4000 COAST GUARD BLVD
PORTSMOUTH, VA 23707-2199
Phone number: 757-483-8710
Mailing Address
Mr. ATHAN ANDERSON
1324 DARIEN COURT
VIRGINIA BEACH, VA 23464-8808
Phone number: 757-463-6674
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