Organization
MAFBACKTRANS
Active
Other names
mafbacktrans
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIYA BAKULIJIRA SR. (CEO)
(314) 668-3658
Entity
Organization
Contact information
Practice address
8630 W CORDES RD, TOLLESON, AZ 85353-3610
(314) 668-3658
(314) 668-3658
Mailing address
8630 W CORDES RD, TOLLESON, AZ 85353-3610
(314) 668-3658
(314) 668-3658
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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