Individual
DAKOTA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT
Contact information
Practice address
BUILDING 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7185
Mailing address
BUILDING 301 ANDREWS AVE., LYSTER ARMY HEALTH CLINIC, FORT RUCKER, AL 36362-5333
(334) 255-7185
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E3048957
TX
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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