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Gozie Tony Ezemonye

Durable Medical Equipment & Medical Supplies in Hawthorne, CA. Individual provider (NPI-1).

NPI number1063582575
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1063582575
Entity type
Individual (NPI-1)
Name
Gozie Tony Ezemonye
Sex
Male
Sole proprietor
Yes
Enumeration date
Nov 9, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies101671CAYes

Practice location

4448 W.El Segundo Bl.
Hawthorne, CA 90250-4421

Phone 310-676-0576 · Fax 310-676-9109

Mailing address

Po Box 86
Hawthorne, CA 90251-0086

Phone 310-676-0576 · Fax 310-676-9109

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