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Organization
WHITE TIGER ENTERPRISES, INC.
Active
Organization
WHITE TIGER ENTERPRISES, INC.
Active
Other names
Frontera Equipo Medico
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH GELMAN HMDR EXEMPTEE (MANAGER/SECRETARY)
(760) 357-2777
Entity
Organization
Contact information
Practice address
302 E 3RD ST, CALEXICO, CA 92231-2760
(760) 357-2777
(760) 357-2111
Mailing address
302 E 3RD ST, CALEXICO, CA 92231-2760
(760) 357-2777
(760) 357-2111
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
48116
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48116
HMDR
CA
Enumeration date
11/08/2007
Last updated
03/19/2008
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