Organization
CHUCHU TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETSEGENT DEMEKE (OWNER)
(571) 398-7224
Entity
Organization
Contact information
Practice address
13671 WASP WAY APT 201, WOODBRIDGE, VA 22191-5258
(571) 398-8285
Mailing address
13671 WASP WAY APT 201, WOODBRIDGE, VA 22191-5258
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/16/2022
Last updated
09/19/2022
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