Organization
TEST-MED VACCINATION SERVICES MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY MARCUS WILMOTH (SECRETARY)
(415) 595-6734
Entity
Organization
Contact information
Practice address
140 E SANTA FE AVE, FULLERTON, CA 92832-1916
(415) 595-6734
(714) 526-3110
Mailing address
PO BOX 1039, FULLERTON, CA 92836-1039
(415) 595-6734
(714) 526-3110
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G86894
CA
Other
Enumeration date
06/04/2007
Last updated
03/23/2009
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