Organization
CENTRAL ONE MOBILITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KATHLEEN BRAGAIS QUIAOT (SECRETARY)
(209) 808-8140
Entity
Organization
Contact information
Practice address
5250 CLAREMONT AVE, SUITE 214, STOCKTON, CA 95207-5700
(209) 475-7953
(866) 768-4102
Mailing address
5250 CLAREMONT AVE, SUITE 214, STOCKTON, CA 95207-5700
(209) 475-7953
(866) 768-4102
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A6800171
CA
Other
Enumeration date
02/27/2012
Last updated
01/15/2013
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