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Organization
QU LIMITED
Active
Organization
QU LIMITED
Active
Other names
Detox Lab
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR SAGALOVSKY (PRESIDENT)
(808) 938-4761
Entity
Organization
Contact information
Practice address
2118 WILSHIRE BLVD, 207, SANTA MONICA, CA 90403-5704
(808) 938-4761
Mailing address
2118 WILSHIRE BLVD, 207, SANTA MONICA, CA 90403-5704
(808) 938-4761
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
NULL
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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