Organization
VICTORY MED-TRANS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIRUBEL MAMO (MANAGER)
(760) 265-5545
Entity
Organization
Contact information
Practice address
15000 7TH ST, SUITE # F 212, VICTORVILLE, CA 92395-3854
(760) 265-5545
(760) 843-9912
Mailing address
PO BOX 1214, VICTORVILLE, CA 92393-1214
(760) 265-5545
(760) 843-9912
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/16/2010
Last updated
06/22/2011
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