Organization
A MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL CARRANZA-GOMEZ (CO-OWNER)
(559) 994-4862
Entity
Organization
Contact information
Practice address
4010 E JENSEN AVE, FRESNO, CA 93725-1404
(559) 994-4862
(559) 840-0393
Mailing address
4010 E JENSEN AVE, FRESNO, CA 93725-1404
(559) 994-4862
(559) 840-0393
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
A1664883
CA
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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