Organization
ADVANCED MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL R JACKSON (OWNER)
(760) 510-8096
Entity
Organization
Contact information
Practice address
1621 S RANCHO SANTA FE RD, STE H, SAN MARCOS, CA 92078-2125
(760) 510-8096
(760) 510-8336
Mailing address
1621 S RANCHO SANTA FE RD, STE H, SAN MARCOS, CA 92078-2125
(760) 510-8096
(760) 510-8336
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
06/08/2005
Last updated
07/21/2009
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