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Organization

SIERRA EXPRESS MEDICAL DELIVERY LLC

Active
Other names
SIEMEDS
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EMMANUEL JOSEPH KEH YILLAH BA,MA (CEO)
(571) 477-6774
Entity
Organization

Contact information

Practice address
57 TUPELO ST, BROCKTON, MA 02301-5654
(857) 777-8704
Mailing address
57 TUPELO ST, BROCKTON, MA 02301-5654
(857) 777-8704

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YP1600X
Pastoral Counselor
171W00000X
Contractor
171WV0202X
Vehicle Modifications Contractor
347E00000X
Transportation Broker
Primary

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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