Organization
BROTHERLY MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE EDWIN MUSSELMAN (OWNER/CEO)
(818) 406-5504
Entity
Organization
Contact information
Practice address
34238 VIA BUENA DR, YUCAIPA, CA 92399-2517
(818) 406-5504
Mailing address
34238 VIA BUENA DR, YUCAIPA, CA 92399-2517
(818) 406-5504
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/01/2015
Last updated
06/15/2016
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