Organization
COVENANT AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY RENE BROOKS E.M.T. (CHIEF EXECUTIVE OFFICER)
(562) 943-3567
Entity
Organization
Contact information
Practice address
10522 SANTA GERTRUDES AVE APT 14, WHITTIER, CA 90603-2734
(562) 943-3567
Mailing address
10522 SANTA GERTRUDES AVE APT 14, WHITTIER, CA 90603-2734
(562) 943-3567
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
E004123
CA
Other
Enumeration date
10/17/2014
Last updated
10/17/2014
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