Organization
BARONA BAND OF MISSION INDIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN KREMENSKY (FIRE CHIEF)
(619) 390-2794
Entity
Organization
Contact information
Practice address
1112 BARONA RD, LAKESIDE, CA 92040-1540
(619) 390-2794
Mailing address
1112 BARONA RD, LAKESIDE, CA 92040-1540
(619) 390-2794
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00999F
—
CA
Enumeration date
11/17/2006
Last updated
08/22/2019
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