Organization
WESCO MEDICAL SUPPLY&EQUIPMENT CO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM O. AMUDIPE DME (PRESIDENT/CEO)
(909) 370-0335
Entity
Organization
Contact information
Practice address
1359 N MOUNT VERNON AVE, COLTON, CA 92324-2561
(909) 370-0335
Mailing address
1359 N MOUNT VERNON AVE, COLTON, CA 92324-2561
(909) 370-0335
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
DME02460F
CA
Other
Enumeration date
07/12/2006
Last updated
12/14/2010
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