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Organization
KINGDOM MEDICAL DISTRIBUTORS SUPPLY INC
Active
Organization
KINGDOM MEDICAL DISTRIBUTORS SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONATUS BERNARD INYANG RCP (DIRECTOR OF OPERATIONS)
(714) 535-7844
Entity
Organization
Contact information
Practice address
1256 N EUCLID ST, SUITE B, ANAHEIM, CA 92801-1928
(714) 535-7844
(714) 535-7833
Mailing address
1256 N EUCLID ST, SUITE B, ANAHEIM, CA 92801-1928
(714) 535-7844
(714) 535-7833
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
RCP 10503
CA
Other
Enumeration date
07/02/2006
Last updated
08/22/2020
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