Organization
RAMS PPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRDANIEL DUPLECHAN (OWNER)
(661) 547-9700
Entity
Organization
Contact information
Practice address
15329 BONANZA RD STE D, VICTORVILLE, CA 92392-2457
(800) 893-5028
Mailing address
15329 BONANZA RD STE D, VICTORVILLE, CA 92392-2457
(800) 893-5028
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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