Organization
ETA MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK POWELL (OWNER)
(410) 908-9955
Entity
Organization
Contact information
Practice address
3812 GLENARM AVE, BALTIMORE, MD 21206-2406
(410) 908-9955
Mailing address
3812 GLENARM AVE, BALTIMORE, MD 21206-2406
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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