Organization
JONAHS UPCOUNTRY COACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH EDWARD CREASEY (OWNER/MANAGER)
(206) 735-5361
Entity
Organization
Contact information
Practice address
27065 STATE HIGHWAY 88 SPC 1, PIONEER, CA 95666-9471
(209) 256-9923
Mailing address
PO BOX 792, PIONEER, CA 95666-0792
(209) 256-9923
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
—
—
Other
Enumeration date
01/18/2023
Last updated
01/18/2023
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