NPI | 1821208943 |
---|---|
Doing Business As | CONQUEST MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | BERNARD S GIBESON Owner 310-630-5885 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 1317830001) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2008-06-20 |