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John Blake Miller
Intermediate Emergency Medical Technician in Pearl City, Hawaii
NPI 1306198205

John Blake Miller is a Intermediate Emergency Medical Technician based in Pearl City, HI. John Blake Miller practices in Pearl City, HI. The NPI Number for John Blake Miller is 1306198205 and holds a License No. 207PE0005X (Hawaii).

The current practice location address for John Blake Miller is 98-838 Noelani St, Pearl City, HI and can be reached out via phone at 224-628-1002.

Location: 98-838 Noelani St, Pearl City, HI, 96782-3501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306198205
Provider Name
John Blake Miller
Credential
Provider Entity Type
Individual
Gender
Male
Address
98-838 Noelani St, Pearl City, HI, 96782-3501
Phone Number
224-628-1002
Fax Number
Provider Enumeration Date
10/03/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
98-838 Noelani St
City
Pearl City
State
Hawaii
Zip
96782-3501
Phone Number
224-628-1002
Fax Number
person
Provider Business Mailing Address Details
Address
98-838 Noelani St
City
Pearl City
State
Hawaii
Zip
96782-3501
Phone Number
224-628-1002
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Intermediate
Speciality
-
Taxonomy
146M00000X
License No.
207PE0005X (California)
Definition
An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
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