Organization
OLUGBENGA DAVID AWONUSI
Active
Other names
DYNAPROMPT MEDICAL DISTRIBUTORS
Organization subpart
No
Provider details
NPI number
Authorized official
OLUGBENGA DAVID AWONUSI (OWNER)
(661) 945-9901
Entity
Organization
Contact information
Practice address
44815 FIG STREET, SUITE 103, LANCASTER, CA 93534
(661) 945-9901
(661) 948-4627
Mailing address
44815 FIG STREET, SUITE 103, LANCASTER, CA 93534
(661) 945-9901
(661) 948-4627
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103686
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03335F
—
CA
Enumeration date
11/13/2007
Last updated
06/18/2008
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