Organization Name: | ABOONDA LLC |
NPI Number: | 1023362340 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | FRANK TURNER (PRESIDENT) |
Mailing Address: | 605 W Herndon Ave Ste 80061 Clovis |
State: | CA US |
Postal Code: | 936120191 |
Phone Number: | 5592104333 |
Fax Number: | 5593540952 |
NPI Enumeration Date: | 11/08/2012 |
NPI Last Update Date: | 11/08/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | 46125775 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |