Individual
GOZIE TONY EZEMONYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4448 W.EL SEGUNDO BL., HAWTHORNE, CA 90250-4421
(310) 676-0576
(310) 676-9109
Mailing address
PO BOX 86, HAWTHORNE, CA 90251-0086
(310) 676-0576
(310) 676-9109
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101671
CA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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