Organization
XTRA CARE MEDICAL TRANSPORT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARISSA C REDSAR (CHIEF EXECUTIVE OFFICER)
(909) 972-0311
Entity
Organization
Contact information
Practice address
6888 LANDRIANO PL, RANCHO CUCAMONGA, CA 91701-8521
(909) 972-0311
(909) 972-0304
Mailing address
6888 LANDRIANO PL, RANCHO CUCAMONGA, CA 91701-8521
(909) 972-0311
(909) 972-0304
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/22/2011
Last updated
07/22/2011
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