SHANAYA FREDERICK

MORENO VALLEY, CA
NPI1952813420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies172A00000X Driver
Enumeration Date2017-10-24
Last Update Date2017-10-27
Business Address
SHANAYA FREDERICK
14929 SPINNAKER LANE
MORENO VALLEY, CA 92553
Phone number: 951-421-9044
Mailing Address
SHANAYA FREDERICK
14929 SPINNAKER LN
MORENO VALLEY, CA 92553-9410
Phone number:
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