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Organization
DE AVENUE MEDICAL INC
Active
Organization
DE AVENUE MEDICAL INC
Active
Other names
de avenue medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY OYEWO (MANAGER)
(661) 208-5670
Entity
Organization
Contact information
Practice address
813 W AVENUE J, LANCASTER, CA 93534-3426
(661) 949-0700
(661) 949-0701
Mailing address
813 W AVENUE J, LANCASTER, CA 93534-3426
(661) 949-0700
(661) 949-0701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10012732
CA
Other
Enumeration date
01/29/2009
Last updated
12/29/2010
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