Individual
MR. MATTHEW E ETUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1407 CENTINELA AVE, INGLEWOOD, CA 90302-1141
(310) 330-2955
(310) 330-2959
Mailing address
1407 CENTINELA AVE, INGLEWOOD, CA 90302-1141
(310) 330-2955
(310) 330-2959
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1238310001
DURABLE MEDICAL EQUIPMENT
CA
Enumeration date
03/12/2007
Last updated
07/08/2007
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