NPI | 1063531341 |
---|---|
Doing Business As | EAGLE NEST AMBULANCE |
Entity Type | Organization |
Authorized Contact | WAYNE BAKER Billing Agent 505-376-2939 |
Organization Subpart ? | Yes |
Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
Enumeration Date | 2007-03-28 |
Last Update Date | 2010-09-17 |