Organization
SAN JOAQUIN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL DIAGO (PRESIDENT)
(559) 334-8790
Entity
Organization
Contact information
Practice address
10810 AVENUE 184, TULARE, CA 93274-9514
(559) 334-8790
Mailing address
10810 AVENUE 184, TULARE, CA 93274-9514
(559) 334-8790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/31/2017
Last updated
01/31/2017
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