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Transportation Services Secured Medical Transport (VAN)

Provider NPI: 1376096883

Organization Information:
Organization is not Subpart
Authorized Official:  SAHARDIDID A HUSSEIN  OWNER  612-222-0421

Practice Location:
803 JAVA AVE APT 11 SUITE# 11 INGLEWOOD, CA 90301-0926 US
Tel: 612-222-0421  Fax: --

Business Mailing Address:
803 JAVA AVE APT 11 SUITE# 11 INGLEWOOD, CA 90301-0926 US
Tel: 612-222-0421  Fax: --

NPI Information:
NPI: 1376096883
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y343800000XTransportation Services
Secured Medical Transport (VAN)

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 343800000X





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