KENNY E SAMUEL

MILWAUKEE, WI
NPI1245467554
Professional NameDISTINCTIVE CARE TRANSPORTATION COMPANY
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: WI  41488300)
Enumeration Date2009-06-12
Last Update Date2009-06-12
Business Address
Mr. KENNY E SAMUEL
6621 N YUBA ST
MILWAUKEE, WI 53223-5759
Phone number: 414-406-1438
Mailing Address
Mr. KENNY E SAMUEL
PO BOX 090374
MILWAUKEE, WI 53209-0374
Phone number: 414-406-1438