Organization
PROFESSIONAL MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEMANE WOLDEGABRIEL (OWNER)
(909) 517-0033
Entity
Organization
Contact information
Practice address
4774 MURIETTA ST, STE. 14, CHINO, CA 91710-5155
(909) 517-0033
(909) 517-0057
Mailing address
4774 MURIETTA ST, STE. 14, CHINO, CA 91710-5155
(909) 517-0033
(909) 517-0057
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/24/2012
Last updated
05/05/2019
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