Individual
MR. HENRY GERHARD AMUNDSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9756 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1615
(949) 702-7467
Mailing address
9756 GARDEN GROVE BLVD, GARDEN GROVE, CA 92844-1615
(949) 702-7467
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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