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Antoinette Russell
Basic Emergency Medical Technician in Lakeside, Arizona
NPI 1457743916

Antoinette Russell is a Basic Emergency Medical Technician based in Lakeside, AZ. Antoinette Russell practices in Lakeside, AZ. The NPI Number for Antoinette Russell is 1457743916 and holds a License No. 111 (Arizona).

The current practice location address for Antoinette Russell is 2922 W White Mountain Blvd, Lakeside, AZ and can be reached out via phone at 928-368-6112 and via fax at 928-368-5643.

Location: 2922 W White Mountain Blvd, Lakeside, AZ, 85929-6152
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457743916
Provider Name
Antoinette Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
2922 W White Mountain Blvd, Lakeside, AZ, 85929-6152
Phone Number
928-368-6112
Fax Number
928-368-5643
Provider Enumeration Date
02/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2922 W White Mountain Blvd
City
Lakeside
State
Arizona
Zip
85929-6152
Phone Number
928-368-6112
Fax Number
928-368-5643
person
Provider Business Mailing Address Details
Address
2922 W White Mountain Blvd
City
Lakeside
State
Arizona
Zip
85929-6152
Phone Number
928-368-6112
Fax Number
928-368-5643
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Paramedic
Speciality
-
Taxonomy
146L00000X
License No.
111 (Arizona)
Definition
An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
111 (Arizona)
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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