Organization
MIRACLE MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN ANAKWENZE (PRESIDENT)
(310) 675-0108
Entity
Organization
Contact information
Practice address
4311 W 147TH STREET, SUITE C, LAWNDALE, CA 90260-1573
(310) 675-0108
Mailing address
4311 W 147TH STREET, SUITE C, LAWNDALE, CA 90260-1573
(310) 675-0108
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
51817
CA
Other
Enumeration date
05/13/2009
Last updated
08/22/2011
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