Individual
MRS. KELSEY ANN SPRAGUE
Active
Individual
MRS. KELSEY ANN SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EMT BASIC 426241
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
426241
NY
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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