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Organization
AETERNA DYNAMIC SUPPLY LLC
Active
Organization
AETERNA DYNAMIC SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVEJEET SINGH (MANAGER)
(279) 258-7722
Entity
Organization
Contact information
Practice address
1141 SIBLEY ST, FOLSOM, CA 95630-3222
(279) 258-7722
Mailing address
785 ORCHARD DR STE 250, FOLSOM, CA 95630-5547
(279) 258-7722
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
10/12/2026
Last updated
10/16/2026
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