Organization
MEDPRO MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMED TANANA (PRESIDENT)
(999) 999-9999
Entity
Organization
Contact information
Practice address
125 KINGSBURY AVE, DEARBORN, MI 48128-1552
(999) 999-9999
Mailing address
125 KINGSBURY AVE, DEARBORN, MI 48128-1552
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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