| NPI | 1154177764 |
|---|---|
| Former Legal Business Name | ADVANTAGE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | ERIK OMAR GABRIEL Owner 760-448-0224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Enumeration Date | 2024-04-25 |
| Last Update Date | 2024-04-25 |