Organization
PEGASUS TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANLEY OYEWOLE (SOLE OWNER)
(415) 574-6979
Entity
Organization
Contact information
Practice address
5506 BEARDSLEY LN, STOCKTON, CA 95219-7142
(415) 574-6979
Mailing address
5506 BEARDSLEY LN, STOCKTON, CA 95219-7142
(415) 574-6979
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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