Individual
CHARLES DICKENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10341 HACIENDA ST, BELLFLOWER, CA 90706-6709
(562) 714-2644
Mailing address
11432 SOUTH STREET, CERRITOS, CA 90703
(562) 714-2644
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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