Organization
TRIANA MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNETTE ILEANA ATALLAH MBA (PRESIDENT)
(619) 713-6800
Entity
Organization
Contact information
Practice address
3855 AVOCADO BLVD, SUITE 160, LA MESA, CA 91941-7382
(619) 713-6800
(619) 639-0376
Mailing address
3855 AVOCADO BLVD, SUITE 160, LA MESA, CA 91941-7382
(619) 713-6800
(619) 639-0376
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
51406
CA
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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