SHERIAN L PRINCE
Medical Equipment Supplier Yellow Pages
Petaluma, California
Provider NPI: 1225100860
Organization Information:Organization Name: SHERIAN L PRINCE
Practice Location:
620 PETALUMA BLVD N STE A PETALUMA, CA 94952 US
Tel: 707-769-9606 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
620 PETALUMA BLVD N STE A PETALUMA, CA 94952 US
Tel: 707-769-9606 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | CA | 100669 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
DME03174F | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin