Organization
SIERRA MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROTHELL O. WILLIAMS JR. (DIRECTOR)
(661) 250-2510
Entity
Organization
Contact information
Practice address
17812 SIERRA HWY, STE C, SANTA CLARITA, CA 91351-1645
(661) 250-2510
(661) 250-2509
Mailing address
17812 SIERRA HWY, STE C, SANTA CLARITA, CA 91351-1645
(661) 250-2510
(661) 250-2509
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/19/2009
Last updated
03/18/2010
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