# YOLANDA DUARTE-WHITE PROVISION SUPPLIES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083646202
- **Authorized official:** MS. YOLANDA DUARTE-WHITE (OWNER/PRESIDENT)
- **Authorized official phone:** (562) 695-8115

## Contact information

- **Practice address:** 12221 HADLEY ST, WHITTIER, CA 90601-3914
- **Practice address phone:** (562) 695-8115
- **Practice address fax:** (562) 695-8445
- **Mailing address:** 749 CLELA AVE, LOS ANGELES, CA 90022-3106
- **Mailing address phone:** (626) 826-3112
- **Mailing address fax:** (323) 268-1485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 103861 | CA | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 06/23/2008