Organization
HUCKLEBERRY TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MARIE STATHAM (OWNER)
(707) 357-0277
Entity
Organization
Contact information
Practice address
520 N MAIN ST, FORT BRAGG, CA 95437-3218
(707) 357-0277
Mailing address
520 N MAIN ST, FORT BRAGG, CA 95437-3218
(707) 357-0277
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/25/2023
Last updated
04/25/2023
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