Individual
PHI TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9463 LEMBERT DOME CIR, STOCKTON, CA 95212-3219
(209) 406-5885
Mailing address
9463 LEMBERT DOME CIR, STOCKTON, CA 95212-3219
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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