NPI 1639865249

Full Moon Medical Transportation LLC

Organisation Transportation Network Company Glen Allen, VA

Practice location

Address: 11424 Old Mountain Rd, Glen Allen, VA 23060-1916
Phone: (804) 878-9000

Authorised official

Name: Wossen Belete
Title: Owner
Phone: (804) 878-9000

Registered specialties

Transportation Network Company Primary

Transportation Services Taxonomy 342000000X

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Registry record

NPI: 1639865249
Entity type: Organization
NPI issued: 17 Apr 2023
Record last updated: 22 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.