Javier Gamboa

NPI #1457194110 in Spencer, Massachusetts

Provider Information

NPI Number: 1457194110
Entity Type: Individual
Name: Javier Gamboa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Taxi
Enumeration Date: Jun 18, 2024
Last Updated: Jun 18, 2024

Practice Location

Address: 3 MAIN ST APT 1
City: Spencer
State: Massachusetts
ZIP Code: 01562-2411
Phone: (508) 579-6857

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Non-emergency Medical Transport (VAN)	343900000X
Taxi	344600000X	Primary

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