Provider Demographics
NPI:1417529504
Name:SCHWENGER, GINA ANN (EMT)
Entity Type:Individual
Prefix:
First Name:GINA
Middle Name:ANN
Last Name:SCHWENGER
Suffix:
Gender:F
Credentials:EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:843 DAVIS ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:CA
Mailing Address - Zip Code:95334-1525
Mailing Address - Country:US
Mailing Address - Phone:209-398-6700
Mailing Address - Fax:
Practice Address - Street 1:843 DAVIS ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:CA
Practice Address - Zip Code:95334-1525
Practice Address - Country:US
Practice Address - Phone:209-398-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic