Organization
MOSSPARK ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOLITA LYDIA SHARP (PRESIDENT)
(408) 335-8744
Entity
Organization
Contact information
Practice address
1664 ALUM ROCK AVE, SAN JOSE, CA 95116-2437
(408) 335-8744
Mailing address
19115 GREEN FOREST RD, LOS GATOS, CA 95033-7807
(408) 335-8744
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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