Individual
JOHN EARL SQUARE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6545 SEINE CT, HIGHLAND, CA 92346-2606
(909) 312-8361
Mailing address
6545 SEINE CT, HIGHLAND, CA 92346-2606
(909) 312-8361
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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