Healthcare Provider Details

I. General information

NPI: 1417893397
Provider Name (Legal Business Name): JM SOLANO TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 DEL PRADO CIR
FAIRFIELD CA
94533-1868
US

IV. Provider business mailing address

75 DEL PRADO CIR
FAIRFIELD CA
94533-1868
US

V. Phone/Fax

Practice location:
  • Phone: 707-243-8243
  • Fax:
Mailing address:
  • Phone: 707-243-8243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MARLON DIMALANTA
Title or Position: OWNER/OPERATOR
Credential:
Phone: 707-704-3670