Wagon Express Professional Transport, LLC
NPI #1427307743 in Fort Defiance, Arizona
Provider Information
- NPI Number
- 1427307743
- Entity Type
- Organization
- Organization Name
- Wagon Express Professional Transport, LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Aug 31, 2012
- Last Updated
- Aug 31, 2012
Practice Location
- Address
- BLACK ROCK ACRES
- Address 2
- LOT 24
- City
- Fort Defiance
- State
- Arizona
- ZIP Code
- 86504
- Phone
- (928) 729-2786
Authorized Official
- Name
- MRS. LEAH ANN LOWLEY
- Title
- OWNER
- Phone
- (505) 409-3612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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