Organization
GUARDIAN ANGEL MEDICAL TRANSPORT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA WILSON (PRESIDENT)
(757) 686-4480
Entity
Organization
Contact information
Practice address
3029 KEMPTON PARK RD, SUFFOLK, VA 23435-2552
(757) 686-4480
Mailing address
3029 KEMPTON PARK RD, SUFFOLK, VA 23435-2552
(757) 686-4480
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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