NPI 1396916680

Marcus Jevon Fulton, NREMTB

Practitioner Basic Emergency Medical Technician Shreveport, LA

Practice location

Address: 964 Winter Garden Dr Unit 1, Shreveport, LA 71107-3129
Phone: (318) 221-0467

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence B1595888 (LA)

Other Emergency Medical Technician, Basic providers in Louisiana →

Registry record

NPI: 1396916680
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Mar 2008
Record last updated: 14 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.