Organization
MILLENNIUM MEDICAL SUPPLY
Active
Other names
same as above
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SEMIRA A HUSSIEN (DIRECTOR)
18778755095
Entity
Organization
Contact information
Practice address
12815 CANYON RD E STE R, PUYALLUP, WA 98373-5104
(187) 787-5509
(253) 539-2990
Mailing address
12815 CANYON RD E STE R, PUYALLUP, WA 98373-5104
(187) 787-5509
(253) 539-2990
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
60566157
WA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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