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Evelyn D Walberg
Basic Emergency Medical Technician in Ellington, Missouri
NPI 1255996765

Evelyn D Walberg is a Basic Emergency Medical Technician based in Ellington, MO. Evelyn D Walberg practices in Ellington, MO. The NPI Number for Evelyn D Walberg is 1255996765 and holds a License No. 65672 (Missouri).

The current practice location address for Evelyn D Walberg is 315 E Walnut St, Ellington, MO and can be reached out via phone at 573-663-2644.

Location: 315 E Walnut St, Ellington, MO, 63638-7943
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255996765
Provider Name
Evelyn D Walberg
Credential
Provider Entity Type
Individual
Gender
Female
Address
315 E Walnut St, Ellington, MO, 63638-7943
Phone Number
573-663-2644
Fax Number
Provider Enumeration Date
05/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 E Walnut St
City
Ellington
State
Missouri
Zip
63638-7943
Phone Number
573-663-2644
Fax Number
person
Provider Business Mailing Address Details
Address
315 E Walnut St
City
Ellington
State
Missouri
Zip
63638-7943
Phone Number
573-663-2644
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
65672 (Missouri)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
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