Organization
MIRACCO MEDICAL LLC
Active
Other names
DuraMed
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MONTGOMERY (PRESIDENT)
(707) 448-3620
Entity
Organization
Contact information
Practice address
859 COTTING CT STE B, VACAVILLE, CA 95688-9354
(707) 448-3620
Mailing address
859 COTTING CT STE B, VACAVILLE, CA 95688-9354
(707) 448-3620
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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