person
Mr. Gladwyne Suello Bales
Non-emergency Medical Transport (VAN) in Lincoln, California
NPI 1740518711

Gladwyne Suello Bales is a Non-emergency Medical Transport (VAN) based in Lincoln, CA. Gladwyne Suello Bales practices in Lincoln, CA. The NPI Number for Gladwyne Suello Bales is 1740518711 and holds a License No. 99789 (California).

The current practice location address for Gladwyne Suello Bales is 1324 Renison Ln, Lincoln, CA and can be reached out via phone at 916-832-4660 and via fax at 916-543-4946.

Location: 1324 Renison Ln, Lincoln, CA, 95648-3219
person
Provider Profile Details
NPI Number
1740518711
Provider Name
Gladwyne Suello Bales
Credential
Provider Entity Type
Individual
Gender
Male
Address
1324 Renison Ln, Lincoln, CA, 95648-3219
Phone Number
916-832-4660
Fax Number
916-543-4946
Provider Enumeration Date
12/02/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1324 Renison Ln
City
State
Zip
95648-3219
Phone Number
916-832-4660
Fax Number
916-543-4946
person
Provider Business Mailing Address Details
Address
1324 Renison Ln
City
State
Zip
95648-3219
Phone Number
916-832-4660
Fax Number
916-543-4946
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
License No.
99789 (California)
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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