Individual
EDWARD EUGENE BERRETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRTT
Contact information
Practice address
909 12TH AVE, DELANO, CA 93215-2255
(661) 725-7438
(661) 725-5868
Mailing address
PO BOX 645, DELANO, CA 93216-0645
(661) 725-7438
(661) 725-5868
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
100506
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00042F
—
CA
Enumeration date
02/15/2007
Last updated
07/25/2008
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