Revolution Medical Supply, LLC
NPI #1508246133 in Lake Elsinore, California
Provider Information
- NPI Number
- 1508246133
- Entity Type
- Organization
- Organization Name
- Revolution Medical Supply, LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 9, 2015
- Last Updated
- Jun 9, 2015
Practice Location
- Address
- 571 CRANE ST
- Address 2
- UNIT H
- City
- Lake Elsinore
- State
- California
- ZIP Code
- 92530-2742
- Phone
- (951) 471-1122
Authorized Official
- Name
- LISA MARIE ESPINOZA
- Title
- OWNER
- Phone
- (951) 471-1122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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