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An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Private Vehicle |
347C00000X | |||
Bus |
347B00000X | |||
Non-emergency Medical Transport (VAN) |
343900000X | |||
Taxi |
344600000X | |||
Transportation Broker |
347E00000X | |||
Transportation Network Company |
342000000X |
| NPI # | 1235984766 |
| LBN Legal business name | 12925 HESPERIA VICTORVILLE, INC. |
| Authorized official | RANDA ZAKY - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/18/2024 |
| Last updated | 04/18/2024 - About 2 years ago |
| Identifiers | n/a |
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12925 HESPERIA VICTORVILLE, INC.
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12925 HESPERIA VICTORVILLE, INC.