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Organization

TRIPPLE R NEW LIFE MEDICAL SUPPLIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BLESSING C OKWARA R. N. (V. P.)
(909) 623-8136
Entity
Organization

Contact information

Practice address
1641 N GAREY AVE, POMONA, CA 91767-2911
(909) 623-8136
(909) 623-8182
Mailing address
1641 N GAREY AVE, POMONA, CA 91767-2911
(909) 623-8136
(909) 623-8182

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44551
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44551
HMDR
CA
Enumeration date
10/28/2006
Last updated
04/20/2008
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