FORREST DALE EVANS

SACRAMENTO, CA
NPI1508110263
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
(Licence: CA  1010932)
Enumeration Date2012-11-02
Last Update Date2012-11-02
Business Address
-- FORREST DALE EVANS
4190 FRUITA CT
SACRAMENTO, CA 95838-2517
Phone number: 916-519-1370
Mailing Address
-- FORREST DALE EVANS
4190 FRUITA CT
SACRAMENTO, CA 95838-2517
Phone number:
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