Organization
SERV-ALL
Active
Organization
SERV-ALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA A SAMUELS (CEO)
(510) 302-9044
Entity
Organization
Contact information
Practice address
4104 AMARGOSA DR, ANTIOCH, CA 94531-8242
(510) 302-9044
Mailing address
4104 AMARGOSA DR, ANTIOCH, CA 94531-8242
(510) 302-9044
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
Primary
—
CA
Other
Enumeration date
05/12/2012
Last updated
05/12/2012
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