Most Relevant Information
Provider Data
| NPI Number: | 1003510330 |
| Provider Name: | MIA STORM BRYANT |
| Entity Type: | Individual |
| Taxonomy Code: | 343900000X |
| Specialty: | Non-emergency Medical Transport (VAN) |
| License Number: | D5783524 |
Most Important Dates
| Enumeration Date: | 03/29/2023 |
| Last Updated: | 03/29/2023 |
Provider Practice Location
6345 WOOSTER AVE
LOS ANGELES
CA
900562127
Practice Location Phone/Fax
| Phone: | 3232157565 |
| Fax: | 3237548832 |
Provider Mailing Location
6345 WOOSTER AVE
LOS ANGELES
CA
900562127
Provider Mailing Phone/Fax
| Phone: | 3232157565 |
| Fax: | 3237548832 |