Organization
JITA TECHNOLOGIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OTHO JEREMIAH BLOCKSOM JR. (PRESIDENT)
(800) 661-9048
Entity
Organization
Contact information
Practice address
4905 MISSION ST, APARTMENT B, SAN FRANCISCO, CA 94112-3415
(800) 661-9048
(800) 661-9048
Mailing address
4905 MISSION ST, APARTMENT B, SAN FRANCISCO, CA 94112-3415
(800) 661-9048
(800) 661-9048
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/12/2009
Last updated
01/12/2009
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