MR. Ryan Michael Wallace, HEALTH SERVICES TECH
NPI #1003891920 in Buzzards Bay, Massachusetts
Provider Information
- NPI Number
- 1003891920
- Entity Type
- Individual
- Name
- MR. Ryan Michael Wallace, HEALTH SERVICES TECH
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Emergency Medical Technician, Basic
- Credential
- HEALTH SERVICES TECH
- Enumeration Date
- Dec 14, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 5201 LEE RD
- City
- Buzzards Bay
- State
- Massachusetts
- ZIP Code
- 02542-1313
- Phone
- (508) 968-6572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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