Organization
MEDSUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM JAMES FRERICHS (CHIEF EXECUTIVE OFFICER)
(559) 696-9356
Entity
Organization
Contact information
Practice address
3311 W CLEARWATER AVE STE D109, KENNEWICK, WA 99336-2929
(509) 987-1056
Mailing address
5105 E DAKOTA AVE STE 102, FRESNO, CA 93727-7443
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/03/2022
Last updated
12/09/2022
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