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Organization
MOBILE COVID T LLC
Active
Organization
MOBILE COVID T LLC
Active
Other names
MOBILE COVID T LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TERAN WILLIAMS (MEDICAL NURSE ASSISTANT)
(909) 766-5921
Entity
Organization
Contact information
Practice address
1435 W 105TH ST APT 12, LOS ANGELES, CA 90047-4572
(909) 766-5921
Mailing address
1435 W 105TH ST APT 12, LOS ANGELES, CA 90047-4572
(909) 766-5921
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
305R00000X
Preferred Provider Organization
—
NULL
305S00000X
Point of Service
—
NULL
333300000X
Emergency Response System Companies
—
NULL
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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