Organization
MINT CONDITION EXTENSIONS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIA JONES (OWNER)
(267) 250-9751
Entity
Organization
Contact information
Practice address
29 N 53RD ST, PHILADELPHIA, PA 19139-2636
(267) 250-9751
Mailing address
29 N 53RD ST, PHILADELPHIA, PA 19139-2636
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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