Organization
LIBRA MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIY TIMOFEYEV (PRESIDENT)
(818) 343-4340
Entity
Organization
Contact information
Practice address
14509 GILMORE ST, VAN NUYS, CA 91411-1602
(818) 434-4340
Mailing address
14509 GILMORE ST, VAN NUYS, CA 91411-1602
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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