Individual
MR. ANTHONY CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
22573 BARTON RD, GRAND TERRACE, CA 92313-5203
(909) 430-1917
(909) 450-0037
Mailing address
22573 BARTON RD, GRAND TERRACE, CA 92313-5203
(909) 430-1917
(909) 450-0037
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
25031
CA
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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