Individual
CHANDLER DEJUAN THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9041 CATTARAUGUS AVE, LOS ANGELES, CA 90034-1920
(317) 496-9028
Mailing address
9041 CATTARAUGUS AVE, LOS ANGELES, CA 90034-1920
(317) 496-9028
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
8GQE116
CA
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/27/2023
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