Individual
NATHANIEL GARRETT BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-I
Contact information
Practice address
24895 SHAKE RIDGE RD, VOLCANO, CA 95689-9613
(209) 217-1138
Mailing address
24895 SHAKE RIDGE RD, VOLCANO, CA 95689-9613
(209) 217-1138
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E088308
CA
Other
Enumeration date
02/19/2013
Last updated
02/19/2013
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