| NPI | 1376333575 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 7627049) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: NC 000007627049) |
| Enumeration Date | 2025-05-09 |
| Last Update Date | 2025-05-09 |