Organization
THE TUB TABLE COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM MARIE COOPER (CEO)
(714) 317-5025
Entity
Organization
Contact information
Practice address
2910 W BALL RD, 13, ANAHEIM, CA 92804-4845
(714) 317-5025
Mailing address
2910 W BALL RD, 13, ANAHEIM, CA 92804-4845
(714) 317-5025
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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