Organization
TRICORE MED SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERICHO G VALERA (OWNER)
(360) 223-0270
Entity
Organization
Contact information
Practice address
2169 HARBOR ST, PITTSBURG, CA 94565-5013
(510) 691-2694
Mailing address
2169 HARBOR ST, PITTSBURG, CA 94565-5013
(510) 691-2694
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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