Organization
LILLIAN MAE CANNADY A J HEALTHCARE SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILLIAN MAE CANNADY (OWNER)
(714) 761-4831
Entity
Organization
Contact information
Practice address
7151 LINCOLN AVE, SUITE F, BUENA PARK, CA 90620-4613
(714) 761-4831
(714) 761-4833
Mailing address
7151 LINCOLN AVE, SUITE F, BUENA PARK, CA 90620-4613
(714) 761-4831
(714) 761-4833
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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