Organization
NICO CARE MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PAUL VAAL (PRINCIPAL OWNER)
(415) 305-1196
Entity
Organization
Contact information
Practice address
1311 CANTERBURY, HERCULES, CA 94547-3622
(415) 305-1196
(888) 828-8718
Mailing address
1311 CANTERBURY, HERCULES, CA 94547-3622
(415) 305-1196
(888) 828-8718
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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