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Mr. Vincent Michael Douglas
Private Vehicle in Lancaster, California
NPI 1518690718

Vincent Michael Douglas is a Private Vehicle based in Lancaster, CA. Vincent Michael Douglas practices in Lancaster, CA. The NPI Number for Vincent Michael Douglas is 1518690718 and holds a License No. (California).

The current practice location address for Vincent Michael Douglas is 1831 Trudgeon Ave, Lancaster, CA and can be reached out via phone at 661-202-7635.

Location: 1831 Trudgeon Ave, Lancaster, CA, 93535-4354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518690718
Provider Name
Vincent Michael Douglas
Credential
Provider Entity Type
Individual
Gender
Male
Address
1831 Trudgeon Ave, Lancaster, CA, 93535-4354
Phone Number
661-202-7635
Fax Number
Provider Enumeration Date
07/05/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C3528136 01 CA STATE DRIVERS LICENSE
institution
Provider Business Practice Location Address Details
Address
1831 Trudgeon Ave
City
Lancaster
State
California
Zip
93535-4354
Phone Number
661-202-7635
Fax Number
person
Provider Business Mailing Address Details
Address
1831 Trudgeon Ave
City
Lancaster
State
California
Zip
93535-4354
Phone Number
661-202-7635
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
()
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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