Organization
CITIZENS MEDICAL RESPONSE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN GAUNDER (MANAGING MEMBER)
(800) 400-1248
Entity
Organization
Contact information
Practice address
8030 LORRAINE AVE, SUITE 336, STOCKTON, CA 95210-4225
(800) 400-1248
(800) 828-3385
Mailing address
8030 LORRAINE AVE, SUITE 336, STOCKTON, CA 95210-4225
(800) 400-1248
(800) 828-3385
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2097
CA
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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