Doctor Name: | MONICA CLEVELAND |
NPI Number: | 1437515871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | D01511652 |
Business Practice Address: | State Rte 86 Federal Rte 1 Milepost 19 Guvo Village Sells, AZ - 85634 |
Business Phone Number: | 5209939592 |
Business Fax Number: | |
Mailing Address: | Hco3 Box 2047, AJO |
State: | AZ |
Postal Code: | 85321 |
Phone Number: | 5209939592 |
Fax Number: | |
NPI Enumeration Date: | 01/14/2016 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 343900000X |
License Number: | D01511652 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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. |