Organization
MD MEDICAL SUPPLIES AND UNIFORMS
Active
Parent organization
1158
Organization subpart
Yes
Provider details
NPI number
Legal business name
1158
Authorized official
MARIA A DE AVILA (OWNER)
(831) 630-9002
Entity
Organization
Contact information
Practice address
321 SAN FELIPE RD STE 9, HOLLISTER, CA 95023-3035
(831) 801-4172
Mailing address
321 SAN FELIPE RD., HOLLISTER, CA 95023-5247
(831) 630-9002
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
1334
CA
Other
Enumeration date
01/02/2012
Last updated
10/11/2013
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