Individual
ALICE R TETZKE ALLRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
E.M.T.
Contact information
Practice address
55 N GREENFIELD RD, GILBERT, AZ 85234-6220
(480) 497-4034
(480) 507-1624
Mailing address
140 S GILBERT RD, GILBERT, AZ 85296-1016
(480) 497-4034
(480) 507-1645
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
44635
AZ
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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