NPI 1740925601

Blossom Mandy Felicien, MA

Practitioner Basic Emergency Medical Technician West Allis, WI

Practice location

Address: 2323 S 109th St STE 130b, West Allis, WI 53227-1909
Phone: (414) 334-5224

Registered specialties

Basic Emergency Medical Technician Primary

Emergency Medical Service Providers Taxonomy 146N00000X Licence 2900134 (WI)

Other Emergency Medical Technician, Basic providers in Wisconsin →

Registry record

NPI: 1740925601
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 May 2022
Record last updated: 4 May 2022

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.