Individual
PAQUESHIA DEFRAY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362
(334) 255-7722
(334) 255-7368
Mailing address
BLDG 301 ANDREWS AVE, LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362
(334) 255-7722
(334) 255-7368
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1630996
AL
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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