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Organization

CROSSTOWN CARE MED TRANSORT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LETICIA C ROJAS JD (CEO)
(908) 355-4768
Entity
Organization

Contact information

Practice address
2404 SYLVAN LN, GLENDALE, CA 91208-2335
(818) 937-9588
(908) 354-1604
Mailing address
2404 SYLVAN LN, GLENDALE, CA 91208-2335
(818) 937-9588
(908) 354-1604

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M41835160004545
DRIVERS LICENSE
NJ
Enumeration date
05/17/2013
Last updated
05/22/2013
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