Organization
SUMMIT MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MILA DAVIS (OWNER)
(951) 314-1771
Entity
Organization
Contact information
Practice address
8362 REDWOOD AVE, #20, FONTANA, CA 92335-8058
(951) 314-1771
Mailing address
10808 FOOTHILL BLVD, SUITE 160-493, RANCHO CUCAMONGA, CA 91730-3889
(951) 314-1771
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/21/2011
Last updated
10/21/2011
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