FELIPE SANTELL RODRIGUEZ

LAKE STATION, IN
NPI1235997057
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: IN  341011963)
Additional Taxonomies347C00000X Private Vehicle
(Licence: IN  3410101963)
Enumeration Date2024-03-07
Last Update Date2024-03-07
Business Address
FELIPE SANTELL RODRIGUEZ
2554 MIAMI ST
LAKE STATION, IN 46405-2156
Phone number: 773-791-7152
Mailing Address
FELIPE SANTELL RODRIGUEZ
2554 MIAMI ST
LAKE STATION, IN 46405-2156
Phone number: 773-791-7152