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Organization

STARR LIGHT EXPRESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JASON FRUTH (CO-OWNER)
(707) 348-2294
Entity
Organization

Contact information

Practice address
815 MYRTLE ST, FORT BRAGG, CA 95437-5530
(707) 348-2294
Mailing address
815 MYRTLE ST, FORT BRAGG, CA 95437-5530
(707) 348-2294

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
Primary

Other

Enumeration date
05/11/2022
Last updated
12/28/2022
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