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Organization

VIDA QUARD TRANSPORTATION INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WISSAN BAROUKI BLANCO (PRESIDENT)
(713) 478-0650
Entity
Organization

Contact information

Practice address
2314 N FRONT ST, PHILADELPHIA, PA 19133-3716
(713) 478-0650
(267) 538-6528
Mailing address
2314 N FRONT ST, PHILADELPHIA, PA 19133-3716
(713) 478-0650
(267) 538-6528

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
10/02/2024
Last updated
10/02/2024
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