Organization
CLEMENT ETINAYAGOMWAN AGHEDO
Active
Other names
Ace Medical Equipment Supply Company
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMENT ETINAYAGOMWAN AGHEDO (DIRECTOR)
(909) 882-2640
Entity
Organization
Contact information
Practice address
248 E HIGHLAND AVE, SUITE #2, SAN BERNARDINO, CA 92404-3703
(909) 882-2640
(909) 882-2648
Mailing address
PO BOX 129, RIALTO, CA 92377-0129
(909) 882-2640
(909) 882-2648
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
05/14/2008
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