PROVIDENCE MEDICAL SUPPLY LLC

ONTARIO, CA
NPI1659096410
Entity TypeOrganization
Authorized ContactYUSIF J SALIA
Managing Director
213-379-1424
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2022-10-04
Last Update Date2022-12-25
Business Address
PROVIDENCE MEDICAL SUPPLY LLC
1125 N MOUNTAIN AVE
ONTARIO, CA 91762-1739
Phone number: 909-443-7115
Mailing Address
PROVIDENCE MEDICAL SUPPLY LLC
1125 N MOUNTAIN AVE
ONTARIO, CA 91762-1739
Phone number: 909-443-7115