Organization
AMANDA CARE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MICHELE TRENIESE PERRY (OWNER)
(909) 949-7911
Entity
Organization
Contact information
Practice address
1113 ALTA AVE, SUITE 101, UPLAND, CA 91786-2803
(909) 949-7911
(909) 949-3061
Mailing address
1113 ALTA AVE, SUITE 101, UPLAND, CA 91786-2803
(909) 949-7911
(909) 949-3061
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
06/18/2006
Last updated
06/13/2008
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