Karl Bruce Evans
Secured Medical Transport (VAN) in Vineland, NJ. Individual provider (NPI-1).
NPI number1164099313
StatusActive
Last updated in NPPESJun 7, 2021
Details
- NPI
- 1164099313
- Entity type
- Individual (NPI-1)
- Name
- Karl Bruce Evans
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2021
- Certification date
- Jun 7, 2021
- Last updated
- Jun 7, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343800000X | Secured Medical Transport (VAN) | 0450656388 | NJ | Yes |
Practice location
771 S East Ave Apt 777771sVineland, NJ 08360-5958
Phone 856-839-5423 · Fax 856-691-0708
Mailing address
771 S East Ave Apt 777Vineland, NJ 08360-5958
Phone 856-839-5423 · Fax 856-691-0708
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