MR. Zachary Thomas Fennell, EMT BASIC

NPI #1588922108 in Fort Rucker, Alabama

Provider Information

NPI Number
1588922108
Entity Type
Individual
Name
MR. Zachary Thomas Fennell, EMT BASIC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medical Technician, Basic
Credential
EMT BASIC
Enumeration Date
May 2, 2012
Last Updated
May 2, 2012

Practice Location

Address
BUILDING 301, ANDREWS AVE.
Address 2
LYSTER ARMY HEALTH CLINIC
State
Alabama
ZIP Code
36362-5333
Phone
(334) 255-7341

Specialties & Taxonomy Codes

Specialty
Emergency Medical Technician, Basic

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