Organization
LIFE AID MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICTOR T ESSIET (CEO)
(314) 389-6198
Entity
Organization
Contact information
Practice address
3737 N KINGSHIGHWAY BLVD STE 101, SAINT LOUIS, MO 63115-1703
(314) 389-6198
Mailing address
PO BOX 1922, POMONA, CA 91769-1922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/30/2006
Last updated
08/22/2020
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