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Mr. Michael Ponco Fontelera
Durable Medical Equipment & Medical Supplies in Livermore, California
NPI 1164436382

Michael Ponco Fontelera is a Durable Medical Equipment & Medical Supplies based in Livermore, CA. Michael Ponco Fontelera practices in Livermore, CA. The NPI Number for Michael Ponco Fontelera is 1164436382 and holds a License No. 44039 (California).

The current practice location address for Michael Ponco Fontelera is 4049 First St, Livermore, CA and can be reached out via phone at 925-249-1400 and via fax at 925-249-1414.

Location: 4049 First St, Livermore, CA, 94551-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164436382
Provider Name
Michael Ponco Fontelera
Credential
Provider Entity Type
Individual
Gender
Male
Address
4049 First St, Livermore, CA, 94551-2111
Phone Number
925-249-1400
Fax Number
925-249-1414
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4049 First St
City
Livermore
State
California
Zip
94551-5379
Phone Number
925-249-1400
Fax Number
925-249-1414
person
Provider Business Mailing Address Details
Address
4049 First St
City
Livermore
State
California
Zip
94551-5379
Phone Number
925-249-1400
Fax Number
925-249-1414
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
44039 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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