DWAYNE ANDERSON

WOODRIDGE, IL
NPI1316825177
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2025-08-21
Last Update Date2025-08-21
Business Address
DWAYNE ANDERSON
7740 DEER ST
WOODRIDGE, IL 60517-3262
Phone number: 331-777-5795
Mailing Address
DWAYNE ANDERSON
7740 DEER ST
WOODRIDGE, IL 60517-3262
Phone number: 331-777-5795