Organization
ABIGAILS MEDICAL BOUTIQUE & SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ABIGAIL NEWSOME-VASQUEZ (PRESIDENT)
(760) 940-1132
Entity
Organization
Contact information
Practice address
3910 VISTA WAY, STE 112, OCEANSIDE, CA 92056-4513
(760) 940-1132
(760) 940-1166
Mailing address
449 SANTA FE DR, #330, ENCINITAS, CA 92024-5134
(760) 940-1132
(760) 940-1166
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
17000
CA
Other
Enumeration date
12/20/2007
Last updated
01/23/2008
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