| NPI | 1902827132 |
|---|---|
| Doing Business As | ITC MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | QUEEN O ANIEZE-SMITH Manager/Partner 818-787-2827 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 103625) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-08-01 |