Organization
KLUK MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BERLINDA PHOMMALAYVANE (OWNER)
(909) 238-3115
Entity
Organization
Contact information
Practice address
3229 KLUK LN, STE 105, RIVERSIDE, CA 92501-1100
(909) 238-3115
Mailing address
3229 KLUK LN STE 105, RIVERSIDE, CA 92501-1100
(909) 238-3115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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