Organization
WNC MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOLITA LYDIA SHARP (OWNER)
(408) 335-8744
Entity
Organization
Contact information
Practice address
3705 BEACON AVE STE 200, FREMONT, CA 94538-1467
(510) 796-5555
(510) 796-7044
Mailing address
3705 BEACON AVE STE 200, FREMONT, CA 94538-1467
(510) 796-5555
(510) 796-7044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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