Organization
P'OKOT LLC
Active
Other names
LADY'S MEDICAL TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
LADYWINNIE AMOO OULANYAH HIM (CEO)
(619) 578-8416
Entity
Organization
Contact information
Practice address
5511 ADELAIDE AVE, 26, SAN DIEGO, CA 92115
(619) 578-8416
Mailing address
5511 ADELAIDE AVE UNIT 26, SAN DIEGO, CA 92115-5319
(619) 578-8416
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
2017005987
CA
Other
Enumeration date
06/27/2017
Last updated
07/21/2022
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