NPI 1700457066

Brandon Ivan Marroquin

Practitioner Basic Emergency Medical Technician Apo, AA

Practice location

Address: 33003 Battalion Ave, Apo, AA 76544
Phone: (254) 618-8767
Mailing address: 33020 Tank Destroyer Blvd, Fort Hood, TX 76544-4901

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 2644-4876-2654 (NM)

Other Emergency Medical Technician, Basic providers in Armed Forces Americas →

Registry record

NPI: 1700457066
Entity type: Individual
Sex (as registered): Male
NPI issued: 8 Jul 2021
Record last updated: 8 Jul 2021

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.