Organization
MARQUENSY TRAJEAN
Active
Other names
RED BUS PICKUP NON-EMERGENCY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUENSY TRAJEAN (OWNER)
(813) 650-6988
Entity
Organization
Contact information
Practice address
10736 BANFIELD DR, RIVERVIEW, FL 33579-7782
(813) 650-6988
Mailing address
10736 BANFIELD DR, RIVERVIEW, FL 33579-7782
(813) 650-6988
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
05/20/2021
Last updated
03/14/2022
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