| NPI | 1093273278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN FRANCISCO GAMBOA Member 808-366-0085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |