Organization
SAN ANDREAS AMBULANCE
Active
Organization
SAN ANDREAS AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE JONES (OWNER)
(209) 754-5701
Entity
Organization
Contact information
Practice address
660 ST CHARLES ST, SAN ANDREAS, CA 95249
(209) 754-5701
Mailing address
PO BOX 1115, SAN ANDREAS, CA 95249-1115
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTE00123F
—
CA
Enumeration date
07/28/2005
Last updated
09/19/2007
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