Tammy S Jones

Individual provider Active NPI Basic Emergency Medical Technician · San Fidel, NM

NPI 1700062387 · NPPES record last updated Jan 14, 2008

Key facts

NPI
1700062387
Entity type
Individual (NPI type 1)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
03001574 (NM)
Practice address
Exit 102 Off I - 40 1/2 Mi South
San Fidel, NM 87049-0130
Phone
(505) 552-5385
Fax
(505) 552-5473
NPI assigned
Jan 14, 2008
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
03001574NMMDBasic Emergency Medical Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 03001574 NM Yes

Addresses

Primary practice location

Exit 102 Off I - 40 1/2 Mi South
San Fidel, NM 87049-0130

Mailing address

Exit 102 Off I - 40 1/2 Mi South
PO Box 130
San Fidel, NM 87049-0130
Phone (505) 552-5385

Other providers in San Fidel, NM

All providers in San Fidel, NM · Basic Emergency Medical Technician in New Mexico

Sources for this page

Verify at the official NPI Registry.