Abigail'S Medical Supply INC
Mastectomy Fitter in San Diego, CA. Organization (NPI-2).
NPI number1053944827
StatusActive
Last updated in NPPESFeb 19, 2020
Details
- NPI
- 1053944827
- Entity type
- Organization (NPI-2)
- Legal business name
- Abigail'S Medical Supply INC
- Organization subpart
- Yes
- Enumeration date
- Feb 19, 2020
- Certification date
- Feb 19, 2020
- Last updated
- Feb 19, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224900000X | Mastectomy Fitter | – | – | Yes |
Practice location
2020 Camino Del Rio N Ste 105San Diego, CA 92108-1542
Phone 760-940-1132 · Fax 760-940-1134
Mailing address
2020 Camino Del Rio N Ste 105San Diego, CA 92108-1542
Phone 760-940-1132 · Fax 760-940-1134
Authorized official
Abigail Jones Newsome
Ceo
7609401132
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