Individual
KRISVEL JANNETH TRUJILLO GASTELUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
223 G ST APT C, CHULA VISTA, CA 91910-3980
(619) 451-2723
Mailing address
223 G ST APT C, CHULA VISTA, CA 91910-3980
(619) 451-2723
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
088751
CA
343900000X
Non-emergency Medical Transport (VAN)
088751
CA
347C00000X
Private Vehicle
088751
CA
Other
Enumeration date
03/03/2025
Last updated
03/10/2025
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