Organization
J & J MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIRO GONZALEZ (PRESIDENT)
(888) 291-9830
Entity
Organization
Contact information
Practice address
10373 TRADEMARK ST, SUITE I, RANCHO CUCAMONGA, CA 91730-5862
(888) 291-9830
(888) 429-2741
Mailing address
10373 TRADEMARK ST, SUITE I, RANCHO CUCAMONGA, CA 91730-5862
(888) 291-9830
(888) 429-2741
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/17/2008
Last updated
01/04/2012
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