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Organization
PRO CARE MEDICAL SUPPLIES, INC.
Active
Organization
PRO CARE MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RENAT PAPSHUOV (CEO/PRESIDENT)
(818) 956-0704
Entity
Organization
Contact information
Practice address
1614 VICTORY BLVD, SUITE 104, GLENDALE, CA 91201-2946
(818) 956-0704
(818) 956-0714
Mailing address
1614 VICTORY BLVD, SUITE 104, GLENDALE, CA 91201-2946
(818) 956-0704
(818) 956-0714
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PZUC-20070626
CA
Other
Enumeration date
11/27/2007
Last updated
02/11/2010
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