Doctor Name: | CHARLISSA MITCHELL-PERRY |
NPI Number: | 1104138213 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 3210 Osuna Way Sacramento, CA - 958332787 |
Business Phone Number: | 9165680700 |
Business Fax Number: | |
Mailing Address: | 3210 Osuna Way, SACRAMENTO |
State: | CA |
Postal Code: | 958332787 |
Phone Number: | 9165680700 |
Fax Number: | |
NPI Enumeration Date: | 07/06/2010 |
NPI Last Update Date: | 07/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Non-emergency Medical Transport (VAN) |
Taxonomy Specialization: | |
Taxonomy 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. |