| NPI | 1487892451 |
|---|---|
| Doing Business As | DE AVENUE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | BETTY OYEWO Manager 661-208-5670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 10012732) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2010-12-29 |