Organization
WATERGREEN MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON TREJO (PRESIDENT)
(714) 651-8059
Entity
Organization
Contact information
Practice address
2875 DOUGLAS WAY, CORONA, CA 92882-6066
(714) 651-8059
Mailing address
2875 DOUGLAS WAY, CORONA, CA 92882-6066
(714) 651-8059
Taxonomy
Speciality
Code
Description
License number
State
315D00000X
Inpatient Hospice
Primary
—
—
Other
Enumeration date
12/14/2013
Last updated
12/14/2013
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