Organization
RE-BRAND ME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO BROASTER (AGENT)
(706) 305-4318
Entity
Organization
Contact information
Practice address
16809 BELLFLOWER BLVD, SUITE 453, BELLFLOWER, CA 90706
(706) 305-4318
Mailing address
16809 BELLFLOWER BLVD, SUITE 453, BELLFLOWER, CA 90706
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/14/2023
Last updated
04/25/2023
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