| NPI | 1265691562 |
|---|---|
| Doing Business As | CUSTODIAN MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | AKINOLA KODJO SAGOE President 310-833-1190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2008-10-02 |