Organization
COMFORT MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMEL VERIDIANO ACUAVERA (OWNER)
(209) 487-3772
Entity
Organization
Contact information
Practice address
10633 ARIANNE DR, STOCKTON, CA 95209-4330
(209) 487-3772
Mailing address
10633 ARIANNE DR, STOCKTON, CA 95209-4330
(209) 487-3772
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
201130210011
CA
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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