NPI 1154592517

Jackie a Mackey

Practitioner Intermediate Emergency Medical Technician San Fidel, NM

Practice location

Address: Exit 102 Off I - 40 1/2 Mi South, San Fidel, NM 87049-0130
Phone: (505) 552-5385
Fax: (505) 552-5473
Mailing address: PO Box 130, San Fidel, NM 87049-0130

Registered specialties

Intermediate Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146M00000X Licence 03000684 (NM)

Other Emergency Medical Technician, Intermediate providers in New Mexico →

Registry record

NPI: 1154592517
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2008
Record last updated: 13 Mar 2008

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.