Organization
ADVANTAGE VACCINATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS PETRIE (OWNER)
(866) 261-6460
Entity
Organization
Contact information
Practice address
270 E 7TH ST STE 2C, UPLAND, CA 91786
(866) 261-6460
(909) 354-3357
Mailing address
270 E 7TH ST STE 2C, UPLAND, CA 91786-6602
(866) 261-6460
(909) 354-3357
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/10/2013
Last updated
06/19/2018
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