Organization
WELLNESS MEDICAL EQUIPMENT AND SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARLAN KEITH COFFMAN (MANAGER)
(714) 868-8544
Entity
Organization
Contact information
Practice address
7961 VALLEY VIEW ST, LA PALMA, CA 90623-1848
(714) 868-8544
(714) 868-8546
Mailing address
7961 VALLEY VIEW ST, LA PALMA, CA 90623-1848
(714) 868-8544
(714) 868-8546
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
56951
CA
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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