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Andrea Marie Ewert
Oxygen Equipment & Supplies (DME) in Modesto, California
NPI 1457545923

Andrea Marie Ewert is a Oxygen Equipment & Supplies (DME) based in Modesto, CA and is specialized in Oxygen Equipment & Supplies. Andrea Marie Ewert practices in Modesto, CA. The NPI Number for Andrea Marie Ewert is 1457545923 and holds a License No. (California).

The current practice location address for Andrea Marie Ewert is 5039 Pentecost Dr Ste C, Modesto, CA and can be reached out via phone at 209-523-0202 and via fax at 888-499-0202.

Location: 5039 Pentecost Dr Ste C, Modesto, CA, 95357-8173
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457545923
Provider Name
Andrea Marie Ewert
Credential
Provider Entity Type
Organization
Address
5039 Pentecost Dr Ste C, Modesto, CA, 95357-8173
Phone Number
209-523-0202
Fax Number
888-499-0202
Provider Enumeration Date
08/28/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5039 Pentecost Dr Ste C
City
Modesto
State
California
Zip
95356-9290
Phone Number
209-523-0202
Fax Number
888-499-0202
person
Provider Business Mailing Address Details
Address
5039 Pentecost Dr Ste C
City
Modesto
State
California
Zip
95356-9290
Phone Number
209-523-0202
Fax Number
888-499-0202
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
()
Definition
Definition to come...
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