Organization
ESMERALDA CHAVEZ
Active
Other names
Supreme Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESMERALDA CHAVEZ (OWNER)
(619) 508-8560
Entity
Organization
Contact information
Practice address
3160 BONITA RD APT 123, CHULA VISTA, CA 91910-3269
(619) 508-8560
Mailing address
3160 BONITA RD APT 123, CHULA VISTA, CA 91910-3269
(619) 598-8560
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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