Organization
AVH VAN RENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIONTAH HARRIS (OWNER)
(707) 631-7231
Entity
Organization
Contact information
Practice address
1587 LUMINATE LN, FAIRFIELD, CA 94533-7158
(510) 815-7240
Mailing address
709 RACOON CT, FAIRFIELD, CA 94533-8812
(707) 631-7231
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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