Organization
VISTA SERENO TRANSPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOMINIQUE JOHN ORCA MASE RN (MANAGER)
(619) 405-3586
Entity
Organization
Contact information
Practice address
2725 VISTA SERENO CT, LEMON GROVE, CA 91945-3436
(619) 405-3586
(619) 467-7289
Mailing address
2725 VISTA SERENO CT, LEMON GROVE, CA 91945-3436
(619) 405-3586
(619) 467-7289
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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