Tabaaha Transport LLC
NPI #1316358096 in Fort Defiance, Arizona
Provider Information
- NPI Number
- 1316358096
- Entity Type
- Organization
- Organization Name
- Tabaaha Transport LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- May 15, 2014
- Last Updated
- May 15, 2014
Practice Location
- Address
- 101 PINE HILL BLVD
- Address 2
- RIO PUERCO HSE
- City
- Fort Defiance
- State
- Arizona
- ZIP Code
- 86504
- Phone
- (928) 551-1463
Authorized Official
- Name
- SIMONE RENEE SMITH
- Title
- OWNER
- Phone
- (928) 551-1463
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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