Organization
N.E. TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL BOOKER (DRIVER)
(510) 978-3523
Entity
Organization
Contact information
Practice address
1020 W POPLAR ST, STOCKTON, CA 95203-2234
(209) 227-5043
Mailing address
1020 W POPLAR ST, STOCKTON, CA 95203-2234
(209) 227-5043
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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