Individual
MR. JUN JUN CAPOTE ALBASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5125 STONEGLEN WAY, ELK GROVE, CA 95758-5605
(916) 897-0948
Mailing address
5125 STONEGLEN WAY, ELK GROVE, CA 95758-5605
(916) 897-0948
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D6611539
—
CA
Enumeration date
11/02/2021
Last updated
11/02/2021
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