Organization
AIRSQUID VENTURES INC.
Active
Other names
Amphibious Medics
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DONOGHUE (PRESIDENT)
(877) 878-9185
Entity
Organization
Contact information
Practice address
2633 E 28TH ST, #622, SIGNAL HILL, CA 90755-2243
(877) 878-9185
Mailing address
2633 E 28TH ST, #622, SIGNAL HILL, CA 90755-2243
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
01/31/2013
Last updated
10/17/2013
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