Organization
CW TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORY O WERITO (OWNER)
(505) 419-4672
Entity
Organization
Contact information
Practice address
335 DESERT ROSE TRAIL, FARMINGTON, NM 87401
(505) 419-4672
Mailing address
5 COUNTY ROAD 5590 # 3013-L, FARMINGTON, NM 87401-1456
(505) 419-4672
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NM
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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