Individual
APRIL BAZZINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
1599 JONES STEET, GRAND FORKS, ND 58205
(701) 747-5504
Mailing address
1036 HARDMAN RD, ELLAMORE, WV 26267-5649
(304) 904-1277
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609327428
USAF ORGANIZATION
—
Enumeration date
04/06/2023
Last updated
09/26/2023
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