Organization
BY BY TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOUA LEO VANG RDH (OWNER)
(479) 357-9260
Entity
Organization
Contact information
Practice address
374 SANDRIDGE TRL, SUN PRAIRIE, WI 53590-1316
(479) 357-9260
Mailing address
374 SANDRIDGE TRL, SUN PRAIRIE, WI 53590-1316
(479) 357-9260
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/07/2025
Last updated
05/07/2025
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