| NPI | 1982198834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CHARLES WASSON Owner 209-609-7938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) (Licence: CA 18-00129277) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |