Organization
COSTA FORWARD ENTERPRISE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALOIZIO VERONICO COSTA (OWNER)
(415) 724-7861
Entity
Organization
Contact information
Practice address
1435 4TH ST, SAN RAFAEL, CA 94901-2847
(415) 724-7861
(925) 481-2943
Mailing address
2412 MARK TWAIN DR, ANTIOCH, CA 94531-8358
(415) 724-7861
(925) 481-2943
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/15/2020
Last updated
05/15/2020
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