Organization
NIZHONI TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA LIVINGSTON (MANAGING MEMBER)
(623) 224-3395
Entity
Organization
Contact information
Practice address
909 E CAMELBACK RD # 2046, PHOENIX, AZ 85014-3687
(623) 224-3395
Mailing address
PO BOX 4516, GALLUP, NM 87305-4516
(623) 224-3395
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/09/2023
Last updated
06/09/2023
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