| NPI | 1710755889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNICA JEWEL LOOSE Billing Manager 567-232-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 146L00000X Emergency Medical Technician, Paramedic |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-01-22 |