Organization
MICKS ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE N NKWOCHA (OPERATIONS MANAGER)
(818) 759-1368
Entity
Organization
Contact information
Practice address
13122 SHERMAN WAY, NORTH HOLLYWOOD, CA 91605-4645
(818) 759-1368
(818) 759-1369
Mailing address
13122 SHERMAN WAY, NORTH HOLLYWOOD, CA 91605-4645
(818) 759-1368
(818) 759-1369
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103280
CA
Other
Enumeration date
01/30/2006
Last updated
07/28/2008
Update your record
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