Organization
MOUNTAIN MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE O ROMO (OWNER)
(559) 307-5468
Entity
Organization
Contact information
Practice address
35344 HIGHWAY 41 STE D, COARSEGOLD, CA 93614-8301
(559) 307-5831
Mailing address
42545 RANGER CIRCLE WAY, COARSEGOLD, CA 93614-9636
(559) 307-5468
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
About Stedi
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