| Organization Name: | PATRICIA MANN |
| NPI Number: | 1043332794 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD EUGENE MANN (OWNER) |
| Mailing Address: | 14161 Elsworth St Suite C Moreno Valley |
| State: | CA US |
| Postal Code: | 925539007 |
| Phone Number: | 9516531090 |
| Fax Number: | 9516539590 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 02/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 100442 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |