| NPI | 1083488795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESUS A FIALLOS FERNANDEZ Owner 971-808-6260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |