Individual
BUSTER LEE NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13191 CYPRESS AVE, VICTORVILLE, CA 92395-7306
(760) 490-3248
Mailing address
13191 CYPRESS AVE, VICTORVILLE, CA 92395-7306
(760) 490-3248
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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