Organization
BAAL PERAZIM MEDICAL TRANS.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER QUAYNOR (PRESIDENT)
(571) 359-8249
Entity
Organization
Contact information
Practice address
16512 BOBSTER CT, WOODBRIDGE, VA 22191-6317
(571) 359-8249
(703) 359-7024
Mailing address
16512 BOBSTER CT, WOODBRIDGE, VA 22191-6317
(571) 359-8249
(703) 359-7024
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
492
VA
Other
Enumeration date
02/25/2017
Last updated
02/25/2017
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