Organization
INDEPENDENT LIFE MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROWEN EDWARD NAIDOO (OFFICER)
(510) 868-2185
Entity
Organization
Contact information
Practice address
2036 BLAKE ST, BERKELEY, CA 94704-2604
(510) 868-2185
(510) 263-6040
Mailing address
2036 BLAKE ST, BERKELEY, CA 94704-2604
(510) 868-2185
(510) 263-6040
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
200808410268
CA
Other
Enumeration date
05/02/2008
Last updated
02/04/2014
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