| NPI | 1447500558 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES A GONGORA Owner 619-698-1455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) (Licence: CA N5490093) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2012-09-17 |