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Organization
3RD ST MEDICAL SUPPLY, INC.
Active
Organization
3RD ST MEDICAL SUPPLY, INC.
Active
Other names
Dynamic Repair Network
Organization subpart
No
Provider details
NPI number
Authorized official
NOHA M ABDELLATIF (CEO)
(714) 988-6585
Entity
Organization
Contact information
Practice address
1261 S LYON ST, SUITE 05, SANTA ANA, CA 92705-4500
(714) 988-6585
Mailing address
1261 S LYON ST, SUITE 05, SANTA ANA, CA 92705-4500
(714) 988-6585
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
03/31/2014
Last updated
01/23/2017
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