Organization
MERCED MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI FERRIERA R.T. RCP (VICE PRESIDENT)
(209) 312-1729
Entity
Organization
Contact information
Practice address
1827 CANAL ST, MERCED, CA 95340-4812
(209) 722-3832
(209) 722-2779
Mailing address
1827 CANAL ST, MERCED, CA 95340-4812
(209) 722-3832
(209) 722-2779
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
47559
CA
Other
Enumeration date
12/24/2007
Last updated
08/24/2010
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