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Organization

INTIMATE IMAGE #2, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CAROLYN GAIL SANCHEZ (WORKING MANAGER)
(714) 835-9656
Entity
Organization

Contact information

Practice address
2425 N TUSTIN AVE, SUITE B, SANTA ANA, CA 92705-1610
(714) 835-9656
(714) 835-9650
Mailing address
2425 N TUSTIN AVE, SUITE B, SANTA ANA, CA 92705-1610
(714) 835-9656
(714) 835-9650

Taxonomy

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

Other

Enumeration date
03/13/2007
Last updated
08/22/2020
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