Organization
INCINGO SOURCE MANAGEMENT
Active
Organization
INCINGO SOURCE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA FUJII (DIRECTOR OF OPERATIONS)
(844) 631-8709
Entity
Organization
Contact information
Practice address
112 S MAIN ST, SUITE A, ANN ARBOR, MI 48104-1953
(844) 631-8709
Mailing address
112 SOUTH MAIN ST, SUITE A, ANN ARBOR, MI 48104
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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