Organization
SAMUEL B BOCKARI
Active
Other names
RAINBOW TRANSPORTATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL BINOY BOCKARI (OWNER)
(209) 477-6130
Entity
Organization
Contact information
Practice address
10203 RIVER PARK CIR, STOCKTON, CA 95209-4183
(209) 477-6130
Mailing address
10203 RIVER PARK CIR, STOCKTON, CA 95209-4183
(209) 477-6130
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
MTNO1129F
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTNO1129F
—
CA
Enumeration date
12/24/2006
Last updated
06/17/2008
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