Organization
GRANDMAR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD F ZIMMER (PRESIDENT)
(510) 895-0441
Entity
Organization
Contact information
Practice address
15079 WICKS BLVD, SAN LEANDRO, CA 94577-6621
(510) 895-0441
(510) 895-0448
Mailing address
15079 WICKS BLVD, SAN LEANDRO, CA 94577-6621
(510) 895-0441
(510) 895-0448
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
09/25/2006
Last updated
05/16/2008
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