Individual
CHALSEA JAYNE HICKS NERYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT-B
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-0001
(253) 968-3319
Mailing address
MADIGAN ARMY MEDICAL CENTER ATTN: MCHJ-CLQ-C, TACOMA, WA 98431-1100
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3115244
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146N00000X
US ARMY
—
Enumeration date
09/06/2017
Last updated
09/06/2017
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