Organization
AQUA TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDINE VERNON (OWNER)
(323) 830-0088
Entity
Organization
Contact information
Practice address
3344 CANFIELD AVE #106, LOS ANGELES, CA 90034
(323) 830-0088
Mailing address
3344 CANFIELD AVE #106, LOS ANGELES, CA 90034
(323) 830-0088
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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