Organization
ABA MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GODWIN E. ABODOH (PRESIDENT)
(909) 881-6013
Entity
Organization
Contact information
Practice address
1761 N D ST, SAN BERNARDINO, CA 92405-4417
(909) 881-6013
Mailing address
1761 N D ST, SAN BERNARDINO, CA 92405-4417
(909) 881-6013
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3038639
STATE OF CALIFORNIA CORPORATION NUMBER
CA
Enumeration date
10/10/2008
Last updated
10/10/2008
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