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Organization

N A WELLNESS TRANSPORTATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EMMANUEL EBOLUM (OWNER/ MANAGER)
(469) 803-8636
Entity
Organization

Contact information

Practice address
4405 GENESIS CT, MANSFIELD, TX 76063-8667
(469) 803-8636
Mailing address
4405 GENESIS CT, MANSFIELD, TX 76063-8667
(469) 803-8636

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary

Other

Enumeration date
06/16/2023
Last updated
07/03/2023
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