Organization
A FIRST CLASS SHUTTLE EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIGUEL GONZALEZ (OWNER)
(928) 373-2527
Entity
Organization
Contact information
Practice address
2450 S 4TH AVE STE 209, YUMA, AZ 85364-8589
(928) 373-2527
(928) 376-0205
Mailing address
2450 S 4TH AVE STE 209, YUMA, AZ 85364-8589
(928) 376-0205
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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