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Organization

EASTFALLS AMBULANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAVETTE LAKISH CAMPBELL (MEMBER)
(215) 252-0169
Entity
Organization

Contact information

Practice address
5398 WYNNEFIELD AVE, SUITE 105, PHILADELPHIA, PA 19131-2344
(215) 252-0169
Mailing address
5398 WYNNEFIELD AVE, SUITE 105, PHILADELPHIA, PA 19131-2344
(215) 877-3800

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
463715
PA

Other

Enumeration date
01/02/2009
Last updated
01/02/2009
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