Organization
SACRAMENTO MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNIE B NOLEN (CEO/OWNER)
(916) 212-2323
Entity
Organization
Contact information
Practice address
1968 FULTON AVE, SACRAMENTO, CA 95825-1906
(916) 212-2323
Mailing address
1968 FULTON AVE, SACRAMENTO, CA 95825-1906
(916) 212-2323
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/23/2026
Last updated
04/24/2026
About Stedi
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