Individual
MARIA KAY CAJULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DME SUPPLIER
Contact information
Practice address
2954 HONOLULU AVE, LA CRESCENTA, CA 91214-3909
(818) 249-5007
(818) 279-2285
Mailing address
2954 HONOLULU AVE, LA CRESCENTA, CA 91214-3909
(818) 249-5007
(818) 279-2285
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6627630001
PTAN, ALSO CALLED NSC PROVIDER NUMBER
CA
Enumeration date
02/05/2008
Last updated
03/20/2012
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