Wallace Home Medical Supplies
NPI #1215096466 in Paso Robles, California
Provider Information
- NPI Number
- 1215096466
- Entity Type
- Organization
- Organization Name
- Wallace Home Medical Supplies
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 1414 PARK ST
- City
- Paso Robles
- State
- California
- ZIP Code
- 93446-2160
- Phone
- (805) 238-3935
Authorized Official
- Name
- MATTHEW TRAGO WALLACE
- Title
- OWNER
- Phone
- (805) 238-3935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies — Oxygen Equipment & Supplies |
| Durable Medical Equipment & Medical Supplies |
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