Organization
9TH ST MEDICAL SUPPLY & EQUIPMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON JORDAN (OWNER)
(818) 471-3544
Entity
Organization
Contact information
Practice address
38346 9TH ST E, PALMDALE, CA 93550-4723
(818) 471-3544
Mailing address
38346 9TH ST E, PALMDALE, CA 93550-4723
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/22/2010
Last updated
06/22/2010
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