Gerald Theadore Blackmon III
Gerald Theadore Blackmon III is a Non-emergency Medical Transport (VAN) in Beaumont, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2010
Practice location Address checks out
1665 S Monte Verde DrBeaumont, CA 92223-8589
Phone: (951) 663-6995
Fax: (951) 769-5513
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Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence A7202290 (CA) |
|---|
Record details
| NPI number | 1750691994 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 20, 2010 |
| Last updated in NPPES | October 20, 2010 |
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