Organization
EJECUTIVOS TAXI
Active
Other names
n/a
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE PRADO SERPA (OWNER)
(602) 678-1444
Entity
Organization
Contact information
Practice address
13014 N 31ST AVE, HOUSE, PHOENIX, AZ 85029-1332
(602) 678-1444
(602) 371-0666
Mailing address
13014 N 31ST AVE, PHOENIX, AZ 85029
(602) 678-1444
(602) 371-0666
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
25666
AZ
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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