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Organization
KRYSTAL HOPE MEDICAL, INC
Active
Organization
KRYSTAL HOPE MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMECHI OBODOAGHA (CEO/OWNER)
(424) 646-1317
Entity
Organization
Contact information
Practice address
15665 HAWTHORNE BLVD, SUITE # C, LAWNDALE, CA 90260-2658
(424) 646-1317
(310) 671-4300
Mailing address
727 LOYOLA AVE, CARSON, CA 90746-3903
(424) 646-1317
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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