Organization
MLA SENIOR TRANSPORTATION LLC
Active
Other names
MLA senior transportation LLc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEJANDRO CORTES GONZALEZ (PRESIDENT)
(920) 815-9102
Entity
Organization
Contact information
Practice address
3184 ENCHANTED CT, GREEN BAY, WI 54311-3407
(920) 815-9102
Mailing address
3184 ENCHANTED CT, GREEN BAY, WI 54311-3407
(920) 815-9102
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/02/2022
Last updated
04/02/2022
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