Organization
DIRECT LINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA P TENAZAS (CEO)
(916) 727-0403
Entity
Organization
Contact information
Practice address
4949 DILLON CROSS WAY, ANTELOPE, CA 95843-5617
(916) 727-0403
(916) 727-1541
Mailing address
4949 DILLON CROSS WAY, ANTELOPE, CA 95843-5617
(916) 727-0403
(916) 727-1541
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
304410
CA
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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