Individual
ANDREW ADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10757 LEMON AVENUE , SUITE 1224, RANCHO CUCAMONGA, CA 91737
(909) 972-6545
(800) 603-9565
Mailing address
10757 LEMON AVE APT 1224, RANCHO CUCAMONGA, CA 91737-6948
(909) 972-6545
(800) 603-9565
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
201210810014
CA
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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