Provider Demographics
NPI:1902559404
Name:SAEED, MARY BARBARA
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:BARBARA
Last Name:SAEED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6161 OCOTILLO AVE SPC 26
Mailing Address - Street 2:
Mailing Address - City:TWENTYNINE PALMS
Mailing Address - State:CA
Mailing Address - Zip Code:92277-2653
Mailing Address - Country:US
Mailing Address - Phone:518-888-6943
Mailing Address - Fax:
Practice Address - Street 1:6161 OCOTILLO AVE SPC 26
Practice Address - Street 2:
Practice Address - City:TWENTYNINE PALMS
Practice Address - State:CA
Practice Address - Zip Code:92277-2653
Practice Address - Country:US
Practice Address - Phone:518-888-6943
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-03
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)