Individual
JOSEPH RICHARD OMAGHOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1988 N D ST, SAN BERNARDINO, CA 92405-3912
(909) 886-5209
(909) 886-5235
Mailing address
1988 N D ST, SAN BERNARDINO, CA 92405-3912
(909) 886-5209
(909) 886-5235
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50768
CA
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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