NPI 1942069091
Portcitypartybus LLC
Practice location
- Address
- 729 Junipero Serra Dr, Stockton, CA 95210-1154
- Phone
- (209) 420-2681
Authorised official
- Name
- Jason D Horton
- Title
- President
- Phone
- (209) 420-2681
Registered specialties (2)
Transportation Broker
Primary
Private Vehicle
Registry record
- NPI
- 1942069091
- Entity type
- Organization
- NPI issued
- 18 Mar 2024
- Record last updated
- 18 Mar 2024
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.