Organization
KIM CORP
Active
Other names
Abbey Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANA MARIZA GONZALEZ (OFFICE MANAGER)
(559) 431-1000
Entity
Organization
Contact information
Practice address
6057 N PALM AVE, FRESNO, CA 93704-1623
(559) 431-1000
(559) 432-8036
Mailing address
6057 N PALM AVE, FRESNO, CA 93704-1623
(559) 431-1000
(559) 432-8036
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
45389
CA
Other
Enumeration date
06/12/2007
Last updated
05/15/2009
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