Organization
ELK GROVE MEDICAL SUPPLIES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA K KONO (OWNER)
(916) 686-9595
Entity
Organization
Contact information
Practice address
8949 ELK GROVE BLVD, ELK GROVE, CA 95624-1942
(916) 686-9595
(916) 686-9596
Mailing address
8949 ELK GROVE BLVD, ELK GROVE, CA 95624-1942
(916) 686-9595
(916) 686-9596
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
52828
CA
Other
Enumeration date
08/06/2010
Last updated
08/06/2010
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