Sammy David Gullatte
Non-emergency Medical Transport (VAN) in Phoenix, AZ. Individual provider (NPI-1).
NPI number1629478144
StatusActive
Last updated in NPPESOct 11, 2023
Details
- NPI
- 1629478144
- Entity type
- Individual (NPI-1)
- Name
- Mr. Sammy David Gullatte
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2014
- Certification date
- Oct 11, 2023
- Last updated
- Oct 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
10 W Minnezona Ave Apt 1036Phoenix, AZ 85013-4926
Phone 408-421-6939 · Fax 498-980-5872
Mailing address
10 W Minnezona Ave Apt 1036Phoenix, AZ 85013-4926
Phone 408-421-6939 · Fax 480-758-5187
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