| NPI | 1962197293 |
|---|---|
| Former Legal Business Name | MT.TEKILO TRANSPORT LLC |
| Entity Type | Organization |
| Authorized Contact | DAWIT TEKIE Owner 510-379-0854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343800000X Secured Medical Transport (VAN) |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-05-02 |