Organization
INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC
Active
Organization
INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC
Active
Other names
INTEGRATED HOME DIALYSIS STAFF ASSISTANT LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAM O OBEMBE (CFO)
(310) 614-8740
Entity
Organization
Contact information
Practice address
1507 ROSS ST, POMONA, CA 91767-4246
(310) 614-8740
Mailing address
PO BOX 76016, LOS ANGELES, CA 90076-0016
(310) 614-8740
Taxonomy
Speciality
Code
Description
License number
State
2472R0900X
Renal Dialysis Technician
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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