Organization
MARIAELENA NIETO
Active
Other names
Dinuba Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAELENA NIETO (OWNER)
(559) 595-0580
Entity
Organization
Contact information
Practice address
301 E TULARE ST, DINUBA, CA 93618-2308
(559) 595-0580
(559) 595-0583
Mailing address
301 E TULARE ST, DINUBA, CA 93618-2308
(559) 595-0580
(559) 595-0583
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101692997
CA
Other
Enumeration date
12/23/2010
Last updated
10/19/2011
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