Organization
LEXXCARE
Active
Organization
LEXXCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY BOUCHER (MANAGING DIRECTOR)
(909) 581-7488
Entity
Organization
Contact information
Practice address
445 S STATE ST, SAN JACINTO, CA 92583-4013
(800) 560-8547
Mailing address
11690 PACIFIC AVE, SUITE 301, FONTANA, CA 92337-8254
(909) 581-7488
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
11/08/2010
Last updated
11/08/2010
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