Organization
SIGNATURE HEALTH SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HAGEMAN (OWNER)
(707) 217-3037
Entity
Organization
Contact information
Practice address
5510 SKYLANE BLVD STE 101A, SANTA ROSA, CA 95403-1029
(707) 217-3037
Mailing address
5510 SKYLANE BLVD STE 101A, SANTA ROSA, CA 95403-1029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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