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Individual

MR. DON LOUIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6051 ENTERPRISE DR, SUITE 103, DIAMOND SPRINGS, CA 95619-9447
(530) 621-2055
(530) 621-2311
Mailing address
6051 ENTERPRISE DR, SUITE 103, DIAMOND SPRINGS, CA 95619-9447
(530) 621-2055
(530) 621-2311

Taxonomy

Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
10052
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780689430
NPI
05
DME03087F
CA
Enumeration date
07/02/2008
Last updated
03/21/2011
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