Organization
RUTH MALDONADO
Active
Other names
EZ Mobility Durable Medical Equipment & Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH MALDONADO (OWNER/MANAGER)
(951) 352-9200
Entity
Organization
Contact information
Practice address
10220 HOLE AVE., SUITE 6, RIVERSIDE, CA 92503-3438
(951) 352-9200
(951) 352-9210
Mailing address
10220 HOLE AVE., SUITE 6, RIVERSIDE, CA 92503-3438
(951) 352-9200
(951) 352-9210
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
04/13/2012
Last updated
09/21/2012
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