Tricare Medical Transportation Service LLC
NPI #1871065326 in Petersburg, Virginia
Provider Information
- NPI Number
- 1871065326
- Entity Type
- Organization
- Organization Name
- Tricare Medical Transportation Service LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Dec 21, 2018
- Last Updated
- Dec 21, 2018
Practice Location
- Address
- 214 WISTERIA LN APT 3A
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9165
- Phone
- (804) 735-3703
Authorized Official
- Name
- MS. SIMONE D KING
- Title
- OWNER/CEO
- Phone
- (804) 735-3703
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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