Organization
PALMER MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA ILOKUGBE EGBASE (PRESIDENT)
(323) 888-1860
Entity
Organization
Contact information
Practice address
3510 W BEVERLY BLVD, MONTEBELLO, CA 90640-1541
(323) 888-1860
(323) 888-0050
Mailing address
3510 W BEVERLY BLVD, MONTEBELLO, CA 90640-1541
(323) 888-1860
(323) 888-0050
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44547
CA
Other
Enumeration date
06/21/2006
Last updated
03/26/2008
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