Organization
JETHRO MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BERNARDONI (PRESIDENT)
(559) 494-4900
Entity
Organization
Contact information
Practice address
2142 N FINE AVE, FRESNO, CA 93727-1513
(559) 307-3342
(559) 494-4900
Mailing address
2142 N. FINE AVE., FRESNO, CA 93727-1513
(559) 494-4900
(559) 494-4900
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
06/10/2014
Last updated
10/28/2014
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