Organization
RAE MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE CARBURY (OWNER)
(804) 742-6124
Entity
Organization
Contact information
Practice address
8700 S BOONES TRAIL RD, NORTH CHESTERFIELD, VA 23236-4735
(804) 742-6124
Mailing address
8700 S BOONES TRAIL RD, NORTH CHESTERFIELD, VA 23236-4735
(804) 742-6124
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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