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Organization

VINTAGE VINETOURS LLC

Active
Other names
Mendo Access
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM RAY HOUSLEY (GENERAL MANAGER)
(707) 485-4879
Entity
Organization

Contact information

Practice address
14361 HWY 128, BOX 236, BOONVILLE, CA 95415
(707) 895-2641
Mailing address
14361 HWY 128, BOX 236, BOONVILLE, CA 95415
(707) 895-2641

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
C6528142
CA

Other

Enumeration date
01/06/2017
Last updated
01/09/2017
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