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Organization

AKANIFIOK CLEMENT INYANG FRIENDLY MEDICAL SUPPLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AKANIFIOK CLEMENT INYANG (OWNER)
(626) 799-0868
Entity
Organization

Contact information

Practice address
2130 HUNTINGTON DR STE 313, SOUTH PASADENA, CA 91030-4980
(626) 799-0868
(626) 799-8848
Mailing address
2130 HUNTINGTON DR STE 313, SOUTH PASADENA, CA 91030-4980
(626) 799-0868
(626) 799-8848

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101806
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DME03059F
CA
Enumeration date
08/30/2006
Last updated
05/11/2011
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