| NPI | 1477395887 |
|---|---|
| Doing Business As | MAIN STREET MEDICAL SUPPLY LLC, |
| Entity Type | Organization |
| Authorized Contact | MARGARITA TEJEDA Owner 661-754-0439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-06-07 |
| Last Update Date | 2024-06-07 |