Organization
MOMMA'S PUMP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE MARIE KAST RN, IBCLC (PRESIDENT)
(760) 929-8400
Entity
Organization
Contact information
Practice address
5205 AVENIDA ENCINAS, SUITE F, CARLSBAD, CA 92008-4366
(760) 929-8400
(760) 931-8708
Mailing address
5205 AVENIDA ENCINAS, SUITE F, CARLSBAD, CA 92008-4366
(760) 929-8400
(760) 931-8708
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9452326
—
CA
Enumeration date
12/12/2006
Last updated
08/22/2020
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