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Organization
JA MEDICAL SUPPLIES.
Active
Organization
JA MEDICAL SUPPLIES.
Active
Other names
JA Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE ANDREA MADRIGAL (ADMINISTRATIVE ASSISTANT)
(909) 868-1160
Entity
Organization
Contact information
Practice address
675 N PARK AVE, POMONA, CA 91768-3622
(909) 868-1160
(909) 469-6086
Mailing address
675 N PARK AVE, POMONA, CA 91768-3622
(909) 868-1160
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C37948
CA
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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