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1992589873
PROVECTA MEDICAL SUPPLY LLC
LOS ANGELES, CA
NPI
1992589873
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Entity Type
Organization
Authorized Contact
REZA JABARZADE
CEO
424-281-8834
Organization Subpart ?
No
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2023-08-22
Last Update Date
2023-12-05
Business Address
PROVECTA MEDICAL SUPPLY LLC
6333 WILSHIRE BLVD FL 1
LOS ANGELES, CA 90048-5702
Phone number: 310-861-3738
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Mailing Address
PROVECTA MEDICAL SUPPLY LLC
6333 WILSHIRE BLVD FL 1
LOS ANGELES, CA 90048-5702
Phone number: 310-861-3738
Copy
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