Organization
MY RIDE TRANSPORT
Active
Organization
MY RIDE TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAVIOLA PULMONES RN, BSN (REGISTERED NURSE)
(951) 531-8954
Entity
Organization
Contact information
Practice address
527 TERMINO AVE, CORONA, CA 92879-1131
(951) 531-8954
Mailing address
527 TERMINO AVE, CORONA, CA 92879-1131
(951) 531-8954
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1357K D/P
CA
Other
Enumeration date
05/23/2011
Last updated
05/23/2011
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