Organization
ENGOLOIDS MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL MONGE RUFIN (OWNER)
(408) 687-9208
Entity
Organization
Contact information
Practice address
571 FANELLI CT, SAN JOSE, CA 95136-1903
(408) 687-9208
(408) 677-3853
Mailing address
571 FANELLI CT, SAN JOSE, CA 95136-1903
(408) 687-9208
(408) 677-3853
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
—
Other
Enumeration date
10/07/2009
Last updated
10/07/2009
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