Organization
JENNINGS WEST PAC
Active
Other names
DOYLE
Organization subpart
No
Provider details
NPI number
Authorized official
DOYLE LESHUNE JENNINGS (OWNER)
(909) 379-3603
Entity
Organization
Contact information
Practice address
26135 BASELINE ST SPC 25, HIGHLAND, CA 92346-2842
(909) 379-3603
Mailing address
PO BOX 90924, SAN BERNARDINO, CA 92427-1924
(909) 379-3603
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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