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Shady Sharmouk
Non-emergency Medical Transport (VAN) in Glendora, California
NPI 1124409172

Shady Sharmouk is a Non-emergency Medical Transport (VAN) based in Glendora, CA. Shady Sharmouk practices in Glendora, CA. The NPI Number for Shady Sharmouk is 1124409172 and holds a License No. (California).

The current practice location address for Shady Sharmouk is 623 Lemar Park Dr, Glendora, CA and can be reached out via phone at 626-931-0696.

Location: 623 Lemar Park Dr, Glendora, CA, 91740-4439
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124409172
Provider Name
Shady Sharmouk
Credential
Provider Entity Type
Individual
Gender
Male
Address
623 Lemar Park Dr, Glendora, CA, 91740-4439
Phone Number
626-931-0696
Fax Number
Provider Enumeration Date
06/16/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
623 Lemar Park Dr
City
Glendora
State
California
Zip
91740-4439
Phone Number
626-931-0696
Fax Number
person
Provider Business Mailing Address Details
Address
623 Lemar Park Dr
City
Glendora
State
California
Zip
91740-4439
Phone Number
626-931-0696
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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