Stacey Baskerville

NPI #1417099565 in Sweeny, Texas

Provider Information

NPI Number
1417099565
Entity Type
Individual
Name
Stacey Baskerville
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Emergency Medical Technician, Intermediate
Enumeration Date
Feb 13, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
300 SILVERLEAF RD APT 1201
City
Sweeny
State
Texas
ZIP Code
77480-1839
Phone
(979) 482-4637

Specialties & Taxonomy Codes

Specialty
Emergency Medical Technician, Intermediate

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