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Individual

SHELTON RAY LYNCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2907 LAKE BREEZE CT, SPRING VALLEY, CA 91977-3474
(619) 993-0646
Mailing address
2907 LAKE BREEZE CT, SPRING VALLEY, CA 91977-3474
(619) 993-0646

Taxonomy

Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
N5292808
CA
343900000X
Non-emergency Medical Transport (VAN)
Primary
N5292808
CA
347C00000X
Private Vehicle
N5292808
CA
347E00000X
Transportation Broker
N5292808
CA

Other

Enumeration date
11/09/2023
Last updated
12/06/2023
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