San Joaquin Medical Supply INC
NPI #1346787108 in Tulare, California
Provider Information
- NPI Number
- 1346787108
- Entity Type
- Organization
- Organization Name
- San Joaquin Medical Supply INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 31, 2017
- Last Updated
- Jan 31, 2017
Practice Location
- Address
- 10810 AVENUE 184
- City
- Tulare
- State
- California
- ZIP Code
- 93274-9514
- Phone
- (559) 334-8790
Authorized Official
- Name
- MANUEL DIAGO
- Title
- PRESIDENT
- Phone
- (559) 334-8790
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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