Organization
SAFERIDE EASTVALE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REYMUNDO VIRTUCIO MITRA RN (PARTNER)
(714) 883-1444
Entity
Organization
Contact information
Practice address
6982 MASSY HARRIS WAY, EASTVALE, CA 92880-3429
(714) 883-1444
Mailing address
6982 MASSY HARRIS WAY, EASTVALE, CA 92880-3429
(714) 883-1444
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
R-2012-05737
CA
Other
Enumeration date
05/20/2012
Last updated
09/11/2012
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