Organization
FREMONT UNIFORM AND MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA MOHITE (CEO)
(510) 791-5586
Entity
Organization
Contact information
Practice address
644 MOWRY AVENUE, FREMONT, CA 94536-4113
(510) 791-5586
(510) 791-0112
Mailing address
644 MOWRY AVENUE, FREMONT, CA 94536-4113
(510) 791-5586
(510) 791-0112
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02260F
—
CA
Enumeration date
09/20/2006
Last updated
09/27/2023
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