Wallace Home Medical Supplies
NPI #1790947828 in Paso Robles, California
Provider Information
- NPI Number
- 1790947828
- Entity Type
- Organization
- Organization Name
- Wallace Home Medical Supplies
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jun 30, 2008
- Last Updated
- Jun 17, 2013
Practice Location
- Address
- 549 10TH ST
- City
- Paso Robles
- State
- California
- ZIP Code
- 93446-2510
- Phone
- (805) 238-3935
Authorized Official
- Name
- MR. TRAGO WALLACE, ATS
- Title
- PRESIDENT
- Phone
- (805) 238-3935
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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