Organization
DR J'S ROAMING SCOOTER SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE WILSON JR. (PRISIDENT/SALES & REPAIR TECH)
(541) 951-2845
Entity
Organization
Contact information
Practice address
2544 HOWARD AVE, MEDFORD, OR 97501-1213
(541) 951-2845
(541) 772-5525
Mailing address
2544 HOWARD AVE, MEDFORD, OR 97501-1213
(541) 951-2845
(541) 772-5525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
09-00025290
OR
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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