| NPI | 1912228362 |
|---|---|
| Former Legal Business Name | POMONA SURGICAL SUPPLY CO. |
| Entity Type | Organization |
| Authorized Contact | JOHN HELLIESEN CEO 909-623-4378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |