Steven Etienne, IDMT

NPI #1932543659 in Moody Afb, Georgia

Provider Information

NPI Number: 1932543659
Entity Type: Individual
Name: Steven Etienne, IDMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medical Technician, Intermediate
Credential: IDMT
Enumeration Date: Apr 24, 2013
Last Updated: Apr 24, 2013

Practice Location

Address: 3278 MITCHELL BLVD
City: Moody Afb
State: Georgia
ZIP Code: 31699-1500
Phone: (229) 257-4466

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medical Technician, Intermediate	146M00000X	Primary
Registered Nurse - Medical-Surgical — Medical-Surgical	163WM0705X

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