Organization
DIVINE MEDICAL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID NDUDIM ATTORNEY (PRESIDENT)
(916) 801-5048
Entity
Organization
Contact information
Practice address
1321 HOWE AVE STE 203, SACRAMENTO, CA 95825-3365
(916) 801-5048
Mailing address
1321 HOWE AVE STE 203, SACRAMENTO, CA 95825-3365
(916) 801-5048
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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