Organization
ATHENA MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA HAUSER (OWNER)
(840) 250-9793
Entity
Organization
Contact information
Practice address
2975 CUMBERLAND RD, FULLERTON, CA 92833-5535
(840) 250-9793
Mailing address
2975 CUMBERLAND RD, FULLERTON, CA 92833-5535
(840) 250-9793
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/22/2024
Last updated
06/22/2024
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