Most Relevant Information
Provider Data
| NPI Number: | 1003073131 |
| Provider Name: | STEVEN BENARD POWELL |
| Entity Type: | Individual |
| Taxonomy Code: | 146N00000X |
| Specialty: | Emergency Medical Technician, Basic |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/16/2008 |
| Last Updated: | 05/16/2008 |
Provider Practice Location
599 TOMALES RD
PETALUMA
CA
949525002
Practice Location Phone/Fax
| Phone: | 7077657774 |
| Fax: |
Provider Mailing Location
599 TOMALES RD
PETALUMA
CA
949525002
Provider Mailing Phone/Fax
| Phone: | 7077657774 |
| Fax: |