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Organization

INDEPENDENT MOBILITY, LLC

Active
Other names
Easy Riders
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DONALD LEE SIZEMORE (MANAGING PARTNER)
(510) 655-6112
Entity
Organization

Contact information

Practice address
6501 SAN PABLO AVE, SUITE 2, EMERYVILLE, CA 94608-1378
(510) 428-9933
Mailing address
6465 SAN PABLO AVE, 604, EMERYVILLE, CA 94608-2176
(415) 254-9768

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101200417
CA

Other

Enumeration date
03/17/2009
Last updated
03/17/2009
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