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Active
Organization subpart
No

Provider details

NPI number
Authorized official
SALEEM NANGYALAI (OWNER)
(510) 786-1072
Entity
Organization

Contact information

Practice address
25716 MISSION BLVD, HAYWARD, CA 94544-2529
(510) 886-4526
(510) 886-4526
Mailing address
25716 MISSION BLVD, HAYWARD, CA 94544-2529
(510) 886-4526
(510) 886-4526

Taxonomy

Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
44375
CA

Other

Enumeration date
05/04/2007
Last updated
06/13/2008
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