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Gerald Theadore Blackmon III
Non-emergency Medical Transport (VAN) in Beaumont, California
NPI 1750691994

Gerald Theadore Blackmon III is a Non-emergency Medical Transport (VAN) based in Beaumont, CA. Gerald Theadore Blackmon III practices in Beaumont, CA. The NPI Number for Gerald Theadore Blackmon III is 1750691994 and holds a License No. A7202290 (California).

The current practice location address for Gerald Theadore Blackmon III is 1665 S Monte Verde Dr, Beaumont, CA and can be reached out via phone at 951-663-6995 and via fax at 951-769-5513.

Location: 1665 S Monte Verde Dr, Beaumont, CA, 92223-8589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750691994
Provider Name
Gerald Theadore Blackmon III
Credential
Provider Entity Type
Individual
Gender
Male
Address
1665 S Monte Verde Dr, Beaumont, CA, 92223-8589
Phone Number
951-663-6995
Fax Number
951-769-5513
Provider Enumeration Date
10/20/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1665 S Monte Verde Dr
City
Beaumont
State
California
Zip
92223-8589
Phone Number
951-663-6995
Fax Number
951-769-5513
person
Provider Business Mailing Address Details
Address
1665 S Monte Verde Dr
City
Beaumont
State
California
Zip
92223-8589
Phone Number
951-663-6995
Fax Number
951-769-5513
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
A7202290 (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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