Individual
GWENIVERE ELIZABETH GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NREMTP
Contact information
Practice address
453 SOUTH NOVACEL DR, FORT RUCKER, AL 36362
(251) 518-9111
Mailing address
104 S SPRINGVIEW DR, ENTERPRISE, AL 36330-5060
(251) 518-9111
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
1000008
AL
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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