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Organization

SHIBAN10 LLC

Active
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Organization

SHIBAN10 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMOR SOPHIA MARQUEZ (MANAGING MEMBER)
(619) 705-7660
Entity
Organization

Contact information

Practice address
601 11TH AVE UNIT 810, SAN DIEGO, CA 92101-7875
(619) 705-7660
Mailing address
601 11TH AVE UNIT 810, SAN DIEGO, CA 92101-7875
(619) 705-7660

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
08/27/2026
Last updated
08/27/2026
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