| NPI | 1194958108 |
|---|---|
| Other Name | JA MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANDREA MADRIGAL Administrative Assistant 909-868-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA C37948) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |