Individual
SABA VESAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2024 N BROADWAY STE 206, SANTA ANA, CA 92706-2623
(949) 677-3966
Mailing address
2024 N BROADWAY STE 206, SANTA ANA, CA 92706-2623
(949) 677-3966
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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