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Organization

MOBILE COVID T LLC

Active
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Organization

MOBILE COVID T LLC

Active
Other names
MOBILE COVID T LLC
Organization subpart
No

Provider details

NPI number
Authorized official
TERAN WILLIAMS (MEDICAL NURSE ASSISTANT)
(909) 766-5921
Entity
Organization

Contact information

Practice address
1435 W 105TH ST APT 12, LOS ANGELES, CA 90047-4572
(909) 766-5921
Mailing address
1435 W 105TH ST APT 12, LOS ANGELES, CA 90047-4572
(909) 766-5921

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
305R00000X
Preferred Provider Organization
305S00000X
Point of Service
333300000X
Emergency Response System Companies

Other

Enumeration date
01/17/2022
Last updated
01/17/2022
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