Organization
1FIDELITY MED-WAY LLC
Active
Other names
Perris Tiara Marshall
Organization subpart
No
Provider details
NPI number
Authorized official
PERRIS FIDELIS RN (OWNER)
(661) 916-1901
Entity
Organization
Contact information
Practice address
12385 W WHYMAN AVE, AVONDALE, AZ 85323-1241
(661) 916-1901
Mailing address
12385 W WHYMAN AVE, AVONDALE, AZ 85323-1241
(661) 916-1901
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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