Organization
LATRIKUNDA TRANSPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ORVILLE C NANCE (OPERATIONS MANAGER/COO)
(520) 991-5906
Entity
Organization
Contact information
Practice address
3450 S BROADMONT DR STE 108, TUCSON, AZ 85713-5245
(520) 991-5906
(520) 777-5841
Mailing address
PO BOX 85658, TUCSON, AZ 85754-5658
(520) 991-5906
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073406
—
AZ
Enumeration date
10/23/2017
Last updated
10/23/2017
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