Organization
DE AVENUE MEDICAL INC
Active
Other names
de avenue medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY OYEWO (MANAGER)
(661) 208-5670
Entity
Organization
Contact information
Practice address
813 W AVENUE J, LANCASTER, CA 93534-3426
(661) 949-0700
(661) 949-0701
Mailing address
813 W AVENUE J, LANCASTER, CA 93534-3426
(661) 949-0700
(661) 949-0701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10012732
CA
Other
Enumeration date
01/29/2009
Last updated
12/29/2010
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