Organization
MOKAREZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERHON WILLIAMS JR. (OWNER)
(269) 271-5965
Entity
Organization
Contact information
Practice address
4941 TANQUERAY LN APT E, SAINT LOUIS, MO 63129-1369
(269) 271-5965
Mailing address
4941 TANQUERAY LN APT E, SAINT LOUIS, MO 63129-1369
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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