Organization
POMONA SURGICAL SUPPLY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE L HELLIESEN (OWNER)
(909) 623-4378
Entity
Organization
Contact information
Practice address
733 E HOLT AVE, POMONA, CA 91767-5627
(909) 623-4378
(909) 622-2375
Mailing address
733 E HOLT AVE, POMONA, CA 91767-5627
(909) 623-4378
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/03/2007
Last updated
07/07/2008
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