Organization
MARY LOU HAM
Active
Organization
MARY LOU HAM
Active
Other names
Angel Wings Express
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LOU HAM OWNER (SOLE OWNER)
(619) 448-4444
Entity
Organization
Contact information
Practice address
3602 KURTZ ST, SAN DIEGO, CA 92110-4432
(619) 448-4444
(619) 550-1089
Mailing address
3602 KURTZ ST, SAN DIEGO, CA 92110-4432
(619) 448-4444
(619) 550-1089
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B2000013593
CA
Other
Enumeration date
04/20/2017
Last updated
04/20/2017
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