Organization
HUB AND CASTER LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT SMITHWAGNER (MEMBER)
(707) 400-7901
Entity
Organization
Contact information
Practice address
1601 CORPORATE CIR # 4411, PETALUMA, CA 94954-9991
(707) 400-7901
Mailing address
5425 SNYDER LN APT 107, ROHNERT PARK, CA 94928-2939
(707) 400-7901
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
201314110244
CA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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