Organization
AGUSTIN SUPPLIES & SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GIZELLE ES. GONZALES RN (VICE PRESIDENT)
(714) 281-5932
Entity
Organization
Contact information
Practice address
13281 HARBOR BLVD, GARDEN GROVE, CA 92843-1719
(714) 281-5932
(714) 281-5932
Mailing address
13281 HARBOR BLVD, GARDEN GROVE, CA 92843-1719
(714) 281-5932
(714) 281-5932
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
BUS2009-00739
CA
Other
Enumeration date
03/02/2009
Last updated
02/04/2010
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