Organization
ABBA MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUYAPA YESENIA MARTINEZ (PRESIDENT)
(919) 332-9578
Entity
Organization
Contact information
Practice address
1900 S MAIN ST STE 108, WAKE FOREST, NC 27587-5027
(919) 263-9897
(919) 263-9828
Mailing address
1900 S MAIN ST STE 108, WAKE FOREST, NC 27587-5027
(919) 332-9578
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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