Organization
LONGS NON EMERGENCY MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIESHA LONG (OWNER)
(209) 443-4117
Entity
Organization
Contact information
Practice address
3525 W BENJAMIN HOLT DR, STOCKTON, CA 95219-3403
(209) 443-4117
Mailing address
3525 W BENJAMIN HOLT DR, STOCKTON, CA 95219-3403
(209) 443-4117
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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