Individual
GERALD WAYNE OVERSTREET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4417 PRUETT DR, YREKA, CA 96097-9716
(916) 747-5379
Mailing address
4417 PRUETT DR, YREKA, CA 96097-9716
(916) 747-5379
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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