Organization
J&J MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMI BALURAN HERMANO (OWNER/MANAGER)
(206) 349-1059
Entity
Organization
Contact information
Practice address
24908 107TH AVE SE, KENT, WA 98030-5634
(206) 349-1059
Mailing address
6900 E GREEN LAKE WAY N APT 120, SEATTLE, WA 98115-5495
(206) 371-3503
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
60314741621
WA
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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