Individual
LAURA J IMPERIAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13976 HILLTOP, PINE GROVE, CA 95666
(209) 295-4000
Mailing address
PO BOX 39, PIONEER, CA 95666-0039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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