Organization
MARION MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUGUSTINE ANTONIO CORREA (OWNER)
(916) 451-4461
Entity
Organization
Contact information
Practice address
2508 FRANKLIN BLVD, SACRAMENTO, CA 95818-2714
(916) 451-4461
(916) 451-4049
Mailing address
2508 FRANKLIN BLVD, SACRAMENTO, CA 95818-2714
(916) 451-4461
(916) 451-4049
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03308F
—
CA
Enumeration date
08/12/2006
Last updated
08/22/2020
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