Organization
MINERVA MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NASSIM ESSAYLI (SECRETARY)
(800) 845-4493
Entity
Organization
Contact information
Practice address
22865 RIDGE ROUTE LN, LAKE FOREST, CA 92630-3675
(800) 845-4493
(949) 340-0086
Mailing address
22865 RIDGE ROUTE LN, LAKE FOREST, CA 92630-3675
(800) 845-4493
(949) 340-0086
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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