Organization
JNA MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY KAMENETSKY (PRESIDENT)
(703) 474-3030
Entity
Organization
Contact information
Practice address
4041 UNIVERSITY DR, #450, FAIRFAX, VA 22030-3414
(703) 474-3030
(703) 652-4215
Mailing address
4041 UNIVERSITY DR, #450, FAIRFAX, VA 22030-3414
(703) 474-3030
(703) 652-4215
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
110954
VA
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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