Organization
CANOGA MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI L LAYTON (ADMINISTRATOR)
(360) 460-0496
Entity
Organization
Contact information
Practice address
310 E 8TH ST, PORT ANGELES, WA 98362-6218
(360) 504-3807
Mailing address
310 E 8TH ST, PORT ANGELES, WA 98362-6218
(605) 043-8070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/21/2018
Last updated
11/08/2018
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