Individual
LUIS CORTES ROSALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
436 PLANTERS WAY, MOUNT HOLLY, NC 28120-9070
(704) 898-3368
Mailing address
436 PLANTERS WAY, MOUNT HOLLY, NC 28120-9070
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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