Organization
DAISY INCONTINENCE AND MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE L GITTINS (MEMBER)
(916) 320-0707
Entity
Organization
Contact information
Practice address
1911 22ND AVE S, GREAT FALLS, MT 59405-6425
(916) 320-0707
Mailing address
6081 MEEKS WAY, SACRAMENTO, CA 95835-1923
(916) 320-0707
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
Update your record
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