Organization
MEDICLYFT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE ANDREW GANITANO RIGONAN (CEO)
(916) 690-7772
Entity
Organization
Contact information
Practice address
14 CLOVE CT, SACRAMENTO, CA 95823-5577
(916) 690-7772
Mailing address
14 CLOVE CT, SACRAMENTO, CA 95823-5577
(916) 690-7772
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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