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Organization

LEXXIOM MEDICAL SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY BOUCHER (MANAGING DIRECTOR)
(909) 581-7488
Entity
Organization

Contact information

Practice address
445 S STATE ST, SAN JACINTO, CA 92583-4013
(800) 560-8547
Mailing address
11690 PACIFIC AVE, SUITE #170, FONTANA, CA 92337-8254

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
01/18/2011
Last updated
01/18/2011
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