Organization
MODESTO MOBILITY CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DALE H BORMAN (C.F.O.)
(209) 577-1069
Entity
Organization
Contact information
Practice address
1025 LONE PALM AVE STE 5A-B, MODESTO, CA 95351-1572
(209) 577-1069
(209) 577-5932
Mailing address
1025 LONE PALM AVE STE 5A-B, MODESTO, CA 95351-1572
(209) 577-1069
(209) 577-5932
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
CA
Other
Enumeration date
04/04/2013
Last updated
04/04/2013
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