Organization
ABC NON-EMERGENCY MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED MANTUA BELLEZA JR. RN, BSN (RN/OWNER/PROVIDER)
(559) 691-9317
Entity
Organization
Contact information
Practice address
4052 W FENDER AVE, FRESNO, CA 93722-4692
(559) 691-9317
Mailing address
4052 W FENDER AVE, FRESNO, CA 93722-4692
(559) 691-9317
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
CA
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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