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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLOSSOM MANDY FELICIEN, MA

Active

BLOSSOM MANDY FELICIEN, MA is a Emergency Medical Technician, Basic healthcare provider located in WEST ALLIS, Wisconsin. NPI 1740925601 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Technician, Basic · WEST ALLIS, WI

Registration Details

NPI Number
1740925601
Provider Type
Individual
Gender
Female
NPI Issued
May 4, 2022 (4.2520425094386 yrs)
Last Updated
May 4, 2022
License
2900134 (WI)

Practice Information

Address
2323 S 109TH ST STE 130B
WEST ALLIS, WI, 532271909
Browse WI providers · Browse ZIP 53227
Phone
4143345224
Primary Specialty
Emergency Medical Technician, Basic
146N00000X

Other Emergency Medical Technician, Basic Providers in WEST ALLIS, WI

Name Credential NPI
PAUL CHRISTOPHER USHER JR. 1346737822
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.