NPI | 1174333231 |
---|---|
Doing Business As | THE FAJA LADY |
Entity Type | Organization |
Authorized Contact | SHERICA S SPEARMAN Owner 469-996-5662 |
Organization Subpart ? | Yes |
Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
Additional Taxonomies | 172A00000X Driver |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2025-01-10 |
Last Update Date | 2025-01-10 |