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Organization

KMBR GROUP INC.

Active
Other names
Front Medical Supply Company
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLADYS KUIZON (CFO)
(510) 623-1065
Entity
Organization

Contact information

Practice address
4432 ENTERPRISE ST, UNIT I, FREMONT, CA 94538-6331
(510) 623-1065
(510) 623-1070
Mailing address
4432 ENTERPRISE ST, UNIT I, FREMONT, CA 94538-6331
(510) 623-1065
(510) 623-1070

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
73453
DEPT. OF PUBLIC HEALTH FOOD & DRUG BRANCH - HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
01/23/2014
Last updated
05/19/2014
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