KEITH CUSTUS

PHILADELPHIA, PA
NPI1720959968
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2025-09-12
Last Update Date2025-09-12
Business Address
-- KEITH CUSTUS
6639 WALKER ST
PHILADELPHIA, PA 19135-2611
Phone number: 445-232-8948
Mailing Address
-- KEITH CUSTUS
6639 WALKER ST
PHILADELPHIA, PA 19135-2611
Phone number: 445-232-8948
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