Organization
S&S MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE WADE SPRADLING (PRESIDENT)
(888) 600-1922
Entity
Organization
Contact information
Practice address
4940 VIA CORONADO, NEWBURY PARK, CA 91320-6952
(888) 600-1922
Mailing address
4940 VIA CORONADO, NEWBURY PARK, CA 91320-6952
(888) 600-1922
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
200918575
CA
Other
Enumeration date
03/05/2009
Last updated
09/11/2009
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