Organization
WISHING U WELL MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY PERKINS (EXECUTIVE CHAIRMAN OF THE BOARD)
(916) 234-0096
Entity
Organization
Contact information
Practice address
2217 PLAZA DR STE 102, ROCKLIN, CA 95765-4421
(916) 234-0096
Mailing address
2217 PLAZA DR STE 102, ROCKLIN, CA 95765-4421
(916) 234-0096
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
766369-26
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02796F
—
CA
Enumeration date
09/25/2006
Last updated
04/14/2023
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