EVELYN D WALBERG

ELLINGTON, MO
NPI1255996765
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: MO  65672)
Enumeration Date2019-05-09
Last Update Date2019-05-09
Business Address
EVELYN D WALBERG
315 E WALNUT ST
ELLINGTON, MO 63638-7943
Phone number: 573-663-2644
Mailing Address
EVELYN D WALBERG
315 E WALNUT ST
ELLINGTON, MO 63638-7943
Phone number: 573-663-2644