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Individual

NEBULON AZU

Active
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Individual

NEBULON AZU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
172A00000X
Driver
A97615840008602
NJ
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343800000X
Secured Medical Transport (VAN)
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
347E00000X
Transportation Broker
—
NULL

Other

Enumeration date
09/30/2015
Last updated
05/15/2016
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