Organization
LAVIDA
Active
Other names
lavida
Organization subpart
No
Provider details
NPI number
Authorized official
SHADIA NASRALLA (OWNER)
(916) 435-4326
Entity
Organization
Contact information
Practice address
6966 65TH ST, SACRAMENTO, CA 95823-2355
(916) 435-4326
Mailing address
6966 65TH ST, SACRAMENTO, CA 95823-2355
(916) 435-4326
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
11/10/2022
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