MR. Dekoda Dewayne Ware SR.
NPI #1669612396 in Gardena, California
Provider Information
- NPI Number
- 1669612396
- Entity Type
- Individual
- Name
- MR. Dekoda Dewayne Ware SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Transportation Broker
- Enumeration Date
- Feb 20, 2009
- Last Updated
- Feb 20, 2009
Practice Location
- Address
- 16921 S WESTERN AVE STE 203
- City
- Gardena
- State
- California
- ZIP Code
- 90247-5250
- Phone
- (310) 523-3225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
| Private Vehicle |
| Transportation Broker |
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