NPI 1003384041

Demond Lavar Shields, EMT

Practitioner Basic Emergency Medical Technician Marion, AR

Practice location

Address: 130 Barton Cv, Marion, AR 72364-1601
Phone: (901) 828-8832

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 23601 (AR)

Other Emergency Medical Technician, Basic providers in Arkansas →

Registry record

NPI: 1003384041
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Nov 2018
Record last updated: 7 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.