MEDICARE: TARYN AUBERRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)		CA

General Provider Information

NPI Number	:	1639949613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARYN AUBERRY

Provider Business Mailing Address
First Line	:	24730 BAMBOO CT
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-5709
Country	:	US
Telephone Number	:	661-733-3819
Fax Number	:

Provider Business Practice Location Address
First Line	:	24730 BAMBOO CT
Second Line	:
City	:	MORENO VALLEY
State	:	CA
Zip	:	92553-5709
Country	:	US
Telephone Number	:	661-733-3819
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2024
Last Update Date	:	01/02/2024

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Directions to “ TARYN AUBERRY ” Practice Location

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