Organization
ABSOLUTE NON EMERGENCY TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK MARTINEZ (MANAGER)
(209) 624-0252
Entity
Organization
Contact information
Practice address
801 BOULDER AVE, LATHROP, CA 95330-9207
(209) 624-0252
Mailing address
801 BOULDER AVE, LATHROP, CA 95330-9207
(209) 624-0252
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
201520110295
CA
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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