Organization
CUPS TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN R ILLESCA ROMERO (OWNER)
(571) 268-9858
Entity
Organization
Contact information
Practice address
42639 WAXPOOL RD, ASHBURN, VA 20148-4508
(571) 268-9858
Mailing address
42639 WAXPOOL RD, ASHBURN, VA 20148-4508
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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