Medi-Source Equipment & Supply INC
NPI #1821078577 in Yucca Valley, California
Provider Information
- NPI Number
- 1821078577
- Entity Type
- Organization
- Organization Name
- Medi-Source Equipment & Supply INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jan 19, 2006
- Last Updated
- May 24, 2010
Practice Location
- Address
- 57725 TWENTYNINE PALMS HWY
- Address 2
- SUITE 402
- City
- Yucca Valley
- State
- California
- ZIP Code
- 92284-3046
- Phone
- (760) 365-6389
Authorized Official
- Name
- MS. ESTA E WILLMAN
- Title
- PRESIDENT
- Phone
- (760) 365-6389
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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