Organization
NORCAL MEDICAL SUPPLY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERIAN LEA PRINCE (SHAREHOLDER)
(707) 769-9606
Entity
Organization
Contact information
Practice address
620 PETALUMA BLVD N STE A, PETALUMA, CA 94952-2870
(707) 769-9606
(707) 776-4659
Mailing address
PO BOX 4495, PETALUMA, CA 94955-4495
(707) 769-9606
(707) 776-4659
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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