Organization
NORTHERN DRIVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHOUA HER VANG (MEMBER)
(920) 809-6689
Entity
Organization
Contact information
Practice address
5016 N MARY MARTIN DR, APPLETON, WI 54913-8061
(920) 585-9295
Mailing address
5016 N MARY MARTIN DR, APPLETON, WI 54913-8061
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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