IndividualActive
Ryan Wallace, HEALTH SERVICES TECH
NPI 1003891920 · Basic Emergency Medical Technician · Buzzards Bay, MA
Provider details
- NPI number
- 1003891920
- Entity type
- Individual
- Primary specialty
- Basic Emergency Medical TechnicianEmergency Medical Service Providers
- Credential
- HEALTH SERVICES TECH
- Sex
- Male
- License
- B1552861 (CA)
Practice location
5201 Lee Rd
Buzzards Bay, MA 02542-1313
Phone: (508) 968-6572
Fax: (508) 968-6581
Mailing address
5425 Carpenter Ave
Buzzards Bay, MA 02542-1587
Registry dates
- Enumerated
- 2005-12-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.