MR. ATHAN ANDERSON
Emergency Medical Service at Coast Guard Blvd, Portsmouth, VA

License number
Virginia B1625287
Category
Emergency Medical Service
Type
Emergency Medical Technician, Basic
Address
Address 2
4000 Coast Guard Blvd, Portsmouth, VA 23707
1324 Darien Ct, Virginia Beach, VA 23464
Phone
(757) 483-8710
(757) 483-8716 (Fax)
(757) 463-6674
National Provider ID: 1215957469
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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