# 5 MEDICAL

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

## Provider details

- **NPI number:** 1184862278
- **Authorized official:** MARIA DOLORES BUTLER (PRESIDENT)
- **Authorized official phone:** (559) 353-2954

## Contact information

- **Practice address:** 4656 E DAKOTA AVE, SUITE 103, FRESNO, CA 93726-4727
- **Practice address phone:** (559) 353-2954
- **Practice address fax:** (559) 353-2955
- **Mailing address:** 4656 E DAKOTA AVE, SUITE 103, FRESNO, CA 93726-4727
- **Mailing address phone:** (559) 353-2954
- **Mailing address fax:** (559) 353-2955

## Taxonomy

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

## Other

- **Enumeration date:** 01/27/2009
- **Last updated:** 05/12/2010