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1589 West Shaw Ave

Non-emergency Medical Transport (VAN) in Fresno, CA. Organization (NPI-2).

NPI number1760779797
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1760779797
Entity type
Organization (NPI-2)
Legal business name
1589 West Shaw Ave
Organization subpart
Yes
Enumeration date
Jun 28, 2011
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)–CAYes

Other names

  • J&J Enterprise Medicaltransportation (Doing Business As)

Practice location

1589 W Shaw Ave
Suite # 7
Fresno, CA 93711-3500

Phone 559-222-6300 · Fax 559-222-6301

Mailing address

8936 E Herndon Ave
Clovis, CA 93619-9088

Phone 559-222-6300

Authorized official

Esiohe Jennifer Idoni
Director
5592226300

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