Organization
MERCYLAND MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOEL TUNDE ESHO (OWNER)
(909) 862-7272
Entity
Organization
Contact information
Practice address
26575 BASELINE ROAD, SUITE B, HIGHLAND, CA 92346-5380
(909) 862-7272
(909) 862-7214
Mailing address
26575 BASELINE ROAD, SUITE B, HIGHLAND, CA 92346-5380
(909) 862-7272
(909) 862-7214
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5400210001
CA
Other
Enumeration date
02/02/2007
Last updated
08/22/2020
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