| NPI | 1457631632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSA KELLEY Office Administrator 928-773-8933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146N00000X Emergency Medical Technician, Basic |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2011-08-19 |