Custodian Incorporation
NPI #1265691562 in San Pedro, California
Provider Information
- NPI Number
- 1265691562
- Entity Type
- Organization
- Organization Name
- Custodian Incorporation
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 3, 2008
- Last Updated
- Oct 2, 2008
Practice Location
- Address
- 1891 N GAFFEY STREET
- Address 2
- SUITE L
- City
- San Pedro
- State
- California
- ZIP Code
- 90731
- Phone
- (310) 833-1190
Authorized Official
- Name
- MR. AKINOLA KODJO SAGOE
- Title
- PRESIDENT
- Phone
- (310) 833-1190
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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