Norcal Medical Supply, INC
Durable Medical Equipment & Medical Supplies in Petaluma, CA. Organization (NPI-2).
NPI number1669949707
StatusActive
Last updated in NPPESOct 26, 2018
Details
- NPI
- 1669949707
- Entity type
- Organization (NPI-2)
- Legal business name
- Norcal Medical Supply, INC
- Organization subpart
- No
- Enumeration date
- Oct 26, 2018
- Last updated
- Oct 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
620 Petaluma Blvd N Ste APetaluma, CA 94952-2870
Phone 707-769-9606 · Fax 707-776-4659
Mailing address
Po Box 4495Petaluma, CA 94955-4495
Phone 707-769-9606 · Fax 707-776-4659
Authorized official
Sherian Lea Prince
Shareholder
7077699606
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