Organization
ROOTS SCOOTER RENTAL, SALES & DISTRIBUTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH FRUEAN SR. (CONTROLLER)
(684) 770-8666
Entity
Organization
Contact information
Practice address
6655 COCONUT POINT RD., PAGO PAGO, AS 96799-6287
(684) 770-8666
Mailing address
6655 NUUULI, COCONUT POINT RD., PAGO PAGO, AS 96799-8287
(684) 770-8666
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/25/2014
Last updated
06/25/2014
Update your record
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