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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