Organization
A1 QUALITY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ADEWALE O FAJEWONYOMI (OWNER)
(909) 433-0111
Entity
Organization
Contact information
Practice address
582 W VALLEY BLVD, UNIT 9, COLTON, CA 92324-2273
(909) 433-0111
(909) 433-0231
Mailing address
582 W VALLEY BLVD, UNIT 9, COLTON, CA 92324-2273
(909) 433-0111
(909) 433-0231
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/14/2007
Last updated
11/06/2007
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