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Organization

BJ'S TRADING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
YVES SAINT CHRISTOPHER CUSTODIO HERRERA (GENERAL MANAGER)
(619) 730-1722
Entity
Organization

Contact information

Practice address
9668 HEINRICH HERTZ DRIVE SUITE G, SAN DIEGO, CA 92154
(619) 730-1722
Mailing address
9668 HEINRICH HERTZ DR STE G, SAN DIEGO, CA 92154-7919
(619) 730-1722
(619) 730-1723

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101640490
CA

Other

Enumeration date
09/18/2012
Last updated
09/18/2012
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