Organization
EASY ACCESS MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE ADEAGBO (PRESIDENT)
(562) 861-6308
Entity
Organization
Contact information
Practice address
12555 LAKEWOOD BLVD STE B, DOWNEY, CA 90242-2771
(562) 861-6308
(562) 861-6357
Mailing address
12555 LAKEWOOD BLVD STE B, DOWNEY, CA 90242-2771
(562) 861-6308
(562) 861-6357
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
11/28/2007
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