Organization
GRACE EBENUWA
Active
Other names
Alfa Medical Equipment Depot and Support
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRACE EBENUWA RN (OWNER)
(323) 293-3983
Entity
Organization
Contact information
Practice address
2521 W SLAUSON AVE, LOS ANGELES, CA 90043-3248
(323) 293-3983
(323) 293-3965
Mailing address
2521 W SLAUSON AVE, LOS ANGELES, CA 90043-3248
(323) 293-3983
(323) 293-3965
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
49545
CA
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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