Organization
JAN LOUISE RODRIGUEZ
Active
Other names
Quality DME Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAN LOUISE RODRIGUEZ LVN (OWNER)
(909) 825-5213
Entity
Organization
Contact information
Practice address
12210 MICHIGAN ST, SUITE 3, GRAND TERRACE, CA 92313-5484
(909) 825-5213
(909) 825-2843
Mailing address
12210 MICHIGAN ST, SUITE 3, GRAND TERRACE, CA 92313-5484
(909) 825-5213
(909) 825-2843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME02924F
MEDICAL PROVIDER #
CA
05
—
DME02924F
—
CA
Enumeration date
09/14/2005
Last updated
05/14/2013
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