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Organization
MOBILITY MASTERS NORTHERN CALIFORNIA INC.
Active
Organization
MOBILITY MASTERS NORTHERN CALIFORNIA INC.
Active
Other names
Mobility Masters
Organization subpart
No
Provider details
NPI number
Authorized official
RENATE SUSAN TIPSWORD (CEO)
(707) 525-1994
Entity
Organization
Contact information
Practice address
1575 FARMERS LANE, SANTA ROSA, CA 95405-7525
(707) 525-1994
(707) 525-1920
Mailing address
1575 FARMERS LANE, SANTA ROSA, CA 95405-7525
(707) 525-1994
(707) 525-1920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
103424
CA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
09/20/2006
Last updated
05/29/2014
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