Individual
STEVEN ETIENNE
Active
Individual
STEVEN ETIENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDMT
Taxonomy
Speciality
Code
Description
License number
State
146M00000X
Intermediate Emergency Medical Technician
Primary
E3054072
GA
163WM0705X
Medical-Surgical Registered Nurse
RN225389
GA
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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