Individual
JENNIFER A GARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMTB
Contact information
Practice address
332A SAINT PAUL ST, COLUMBIA, IL 62236-1872
(618) 830-0428
Mailing address
332A SAINT PAUL ST, COLUMBIA, IL 62236-1872
(618) 281-2089
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
000385583
IL
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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