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Organization

HARBOR MEDICAL SUPPLY

Active
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Organization

HARBOR MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NELLY MERZHERITSKY (MANAGER)
(415) 336-9269
Entity
Organization

Contact information

Practice address
2917 W CAPITOL AVE, WEST SACRAMENTO, CA 95691-2910
(916) 372-8766
(916) 372-1750
Mailing address
2917 W CAPITOL AVE, WEST SACRAMENTO, CA 95691-2910
(916) 372-8766
(916) 372-1750

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME0218OF
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL

Other

Enumeration date
03/02/2007
Last updated
10/12/2007
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