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Organization
COMPLETE MEDICAL EQUIPMENT AND SUPPLIES
Active
Organization
COMPLETE MEDICAL EQUIPMENT AND SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AFEWORK MAMO (OWNER)
(818) 992-3402
Entity
Organization
Contact information
Practice address
20944 SHERMAN WAY, SUITE 104, CANOGA PARK, CA 91303-1747
(818) 992-3402
(818) 992-3407
Mailing address
20944 SHERMAN WAY, SUITE 104, CANOGA PARK, CA 91303-1747
(818) 992-3402
(818) 992-3407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/13/2007
Last updated
08/22/2020
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