Organization
FAIR OAKS MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUSINE AVAGYAN (OWNER)
(916) 482-1216
Entity
Organization
Contact information
Practice address
5933 FAIR OAKS BLVD, CARMICHAEL, CA 95608
(916) 482-1216
(916) 482-1297
Mailing address
5933 FAIR OAKS BLVD, CARMICHAEL, CA 95608-5221
(916) 482-1216
(916) 482-1297
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
08/04/2008
Last updated
07/11/2011
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