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Tidre Laurent
Non-emergency Medical Transport (VAN) in Glendale, Arizona
NPI 1053008359

Tidre Laurent is a Non-emergency Medical Transport (VAN) based in Glendale, AZ. Tidre Laurent practices in Glendale, AZ. The NPI Number for Tidre Laurent is 1053008359 and holds a License No. (Arizona).

The current practice location address for Tidre Laurent is 4480 W Peoria Ave Ste 108, Glendale, AZ and can be reached out via phone at 602-922-0662.

Location: 4480 W Peoria Ave Ste 108, Glendale, AZ, 85302-2022
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053008359
Provider Name
Tidre Laurent
Credential
Provider Entity Type
Individual
Gender
Male
Address
4480 W Peoria Ave Ste 108, Glendale, AZ, 85302-2022
Phone Number
602-922-0662
Fax Number
Provider Enumeration Date
04/18/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4480 W Peoria Ave Ste 108
City
Glendale
State
Arizona
Zip
85302-2022
Phone Number
602-922-0662
Fax Number
person
Provider Business Mailing Address Details
Address
4480 W Peoria Ave Ste 108
City
Glendale
State
Arizona
Zip
85302-2022
Phone Number
602-922-0662
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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