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NPI 1639865249

OrganizationActive

Full Moon Medical Transportation LLC

NPI 1639865249 · Transportation Network Company · Glen Allen, VA

Provider details

NPI number: 1639865249
Entity type: Organization
Primary specialty: Transportation Network CompanyTransportation Services
Authorized official: Wossen Belete, Owner

Practice location

11424 Old Mountain Rd

Glen Allen, VA 23060-1916

Phone: (804) 878-9000

More VA providers

Mailing address

11424 Old Mountain Rd

Glen Allen, VA 23060-1916

Registry dates

Enumerated: 2023-04-17
Last updated: 2023-04-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Full Moon Medical Transportation LLC — NPI 1639865249, Glen Allen, VA | NPI Central