Organization
ARIZONA EXPRESS TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA STRATTON (PRESIDENT)
(760) 521-5576
Entity
Organization
Contact information
Practice address
3417 MARICOPA AVE, LAKE HAVASU CITY, AZ 86406-9197
(760) 521-5576
Mailing address
3417 MARICOPA AVE, LAKE HAVASU CITY, AZ 86406-9197
(760) 521-5576
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L-1799716-5
AZ
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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