Organization
MOUNTAIN VIEW MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY J SPARACIO (PRESIDENT)
(360) 695-5161
Entity
Organization
Contact information
Practice address
7588 DELAWARE LANE, VANCOUVER, WA 98664
(360) 695-5161
(360) 695-2257
Mailing address
PO BOX 821123, VANCOUVER, WA 98682
(360) 695-5161
(360) 695-2257
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602843542
WA
Other
Enumeration date
07/22/2008
Last updated
08/31/2010
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