Organization
GODWIN ABODOH
Active
Other names
ABA MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
GODWIN EMONENA ABODOH (OWNER)
(909) 881-6013
Entity
Organization
Contact information
Practice address
1761 N D ST, SAN BERNARDINO, CA 92405-4417
(909) 881-6013
Mailing address
1761 N D ST, SAN BERNARDINO, CA 92405-4417
(909) 881-6013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103706
CA
Other
Enumeration date
09/01/2006
Last updated
10/22/2008
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