JACOB MICHAEL LEZON

FT. RUCKER, AL
NPI1417589268
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy146N00000X Emergency Medical Technician, Basic
(Licence: TX  E3497387)
Enumeration Date2020-02-10
Last Update Date2020-02-10
Business Address
JACOB MICHAEL LEZON
30501 NEVINS ST.
FT. RUCKER, AL 36362
Phone number: 334-255-8071
Mailing Address
JACOB MICHAEL LEZON
30501 NEVINS ST.
FT. RUCKER, AL 36362
Phone number: 334-255-8071