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Organization
ENCELIA
Active
Organization
ENCELIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON OMBRES (OWNER)
(415) 849-5378
Entity
Organization
Contact information
Practice address
39 ALTA WAY, CORTE MADERA, CA 94925-1501
(415) 849-5378
Mailing address
39 ALTA WAY, CORTE MADERA, CA 94925-1501
(415) 849-5378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
02/13/2020
Last updated
02/13/2020
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