Organization
NORTHWEST SENIORS TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDGAR FERNANDO LETRAN (OWNER)
(763) 202-7361
Entity
Organization
Contact information
Practice address
14046 DYSPROSIUM ST NW, RAMSEY, MN 55303-4682
(763) 202-7361
(763) 202-7361
Mailing address
14046 DYSPROSIUM ST NW, RAMSEY, MN 55303-4682
(763) 202-7361
(763) 202-7361
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
382033
MN
Other
Enumeration date
01/04/2017
Last updated
01/04/2017
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