Individual
JASON DEWAYNE FERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, BLDG. 301 ANDREWS AVE., FORT RUCKER, AL 36362-5333
(334) 255-7894
Mailing address
LYSTER ARMY HEALTH CLINIC, BLDG. 301 ANDREWS AVE., FORT RUCKER, AL 36362-5333
(334) 255-7894
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1820367
AL
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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