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Organization

ST TAMMANY FIRE DISTRICT #1

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RUSSELL TRICE SHOULTZ RN NREMT-P (EMS COORDINATOR)
(985) 646-4861
Entity
Organization

Contact information

Practice address
1358 CORPORATE SQUARE DR, SLIDELL, LA 70458-3153
(985) 649-3665
Mailing address
34780 S RANGE RD, SLIDELL, LA 70460-6833
(985) 646-4861

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
02/27/2008
Last updated
02/27/2008
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