| NPI | 1144704453 |
|---|---|
| Doing Business As | ST JOSEPH MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | RUTHER AGONOY Vice President 818-846-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |