Individual
MK ADA QUET GENEREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NREMT
Contact information
Practice address
BLDG 301 ANDREWS AVE, LAHC, FORT RUCKER, AL 36362-5333
(334) 255-9915
Mailing address
BLDG 301 ANDREWS AVE, LAHC, FORT RUCKER, AL 36362-5333
(334) 255-9915
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
E1796806
TX
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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