Organization
VANGUARD AMBULANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN THOMAS PEPPERL (OWNER)
(804) 640-9429
Entity
Organization
Contact information
Practice address
8417 ERLE RD BAY A, MECHANICSVILLE, VA 23116-1507
(804) 814-9150
Mailing address
10712 PRUETT LN, GLEN ALLEN, VA 23059-4554
(804) 640-9429
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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