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Organization
MD MEDICAL SUPPLIES AND UNIFORMS
Active
Organization
MD MEDICAL SUPPLIES AND UNIFORMS
Active
Parent organization
1158
Organization subpart
Yes
Provider details
NPI number
Legal business name
1158
Authorized official
MARIA A DE AVILA (OWNER)
(831) 630-9002
Entity
Organization
Contact information
Practice address
321 SAN FELIPE RD STE 9, HOLLISTER, CA 95023-3035
(831) 801-4172
Mailing address
321 SAN FELIPE RD., HOLLISTER, CA 95023-5247
(831) 630-9002
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1334
CA
Other
Enumeration date
01/02/2012
Last updated
10/11/2013
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