Organization
MAUI MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDDIE NEAGLE (PRESIDENT)
(909) 877-1500
Entity
Organization
Contact information
Practice address
317 W TULLOCK ST, RIALTO, CA 92376-7702
(909) 877-1500
(909) 746-0420
Mailing address
317 W TULLOCK ST, RIALTO, CA 92376-7702
(909) 877-1500
(909) 746-0420
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45385
CA
Other
Enumeration date
08/22/2006
Last updated
04/14/2009
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