Organization Name: | SIERRA RESPIRATORY SERVICES |
NPI Number: | 1033356050 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHELLY ANN WATT (OWNER) |
Mailing Address: | 4925 Estrella Road Paso Robles |
State: | CA US |
Postal Code: | 934468330 |
Phone Number: | 8052268923 |
Fax Number: | 8052268923 |
NPI Enumeration Date: | 01/13/2009 |
NPI Last Update Date: | 01/13/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BX2000X |
License Number: | 16880 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Oxygen Equipment & Supplies |
Taxonomy Definition: |