Organization
NADONAH MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE IWUAGWU (MANAGING DIRECTOR)
(661) 718-3870
Entity
Organization
Contact information
Practice address
44245 20TH ST W, LANCASTER, CA 93534-4060
(661) 718-3870
Mailing address
44245 20TH ST W, LANCASTER, CA 93534-4060
(661) 718-3870
(661) 902-0017
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
71423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71423
HMDR
CA
Enumeration date
06/09/2014
Last updated
05/17/2019
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