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Mr. Sidney Broussard III
Non-emergency Medical Transport (VAN) in Palmdale, California
NPI 1639814205

Sidney Broussard III is a Non-emergency Medical Transport (VAN) based in Palmdale, CA. Sidney Broussard III practices in Palmdale, CA. The NPI Number for Sidney Broussard III is 1639814205 and holds a License No. (California).

The current practice location address for Sidney Broussard III is 1008 W Avenue M14 Ste Ad383, Palmdale, CA and can be reached out via phone at 661-510-6524.

Location: 1008 W Avenue M14 Ste Ad383, Palmdale, CA, 93551-5666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639814205
Provider Name
Sidney Broussard III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1008 W Avenue M14 Ste Ad383, Palmdale, CA, 93551-5666
Phone Number
661-510-6524
Fax Number
Provider Enumeration Date
04/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1008 W Avenue M14 Ste Ad383
City
Palmdale
State
California
Zip
93551-1441
Phone Number
661-510-6524
Fax Number
person
Provider Business Mailing Address Details
Address
1008 W Avenue M14 Ste Ad383
City
Palmdale
State
California
Zip
93551-1441
Phone Number
661-510-6524
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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