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Wannaporn Mullan
Durable Medical Equipment & Medical Supplies in Coalinga, California
NPI 1861500787

Wannaporn Mullan is a Durable Medical Equipment & Medical Supplies based in Coalinga, CA. Wannaporn Mullan practices in Coalinga, CA. The NPI Number for Wannaporn Mullan is 1861500787 and holds a License No. (California).

The current practice location address for Wannaporn Mullan is 155 South 5Th Street, Coalinga, CA and can be reached out via phone at 559-935-9350 and via fax at 559-935-2329.

Location: 155 South 5Th Street, Coalinga, CA, 93210-1903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1861500787
Provider Name
Wannaporn Mullan
Credential
Provider Entity Type
Organization
Address
155 South 5Th Street, Coalinga, CA, 93210-1903
Phone Number
559-935-9350
Fax Number
559-935-2329
Provider Enumeration Date
08/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ06748Z 01 CA BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
155 South 5Th Street
City
Coalinga
State
California
Zip
93210-1903
Phone Number
559-935-9350
Fax Number
559-935-2329
person
Provider Business Mailing Address Details
Address
155 South 5Th Street
City
Coalinga
State
California
Zip
93210-1903
Phone Number
559-935-9350
Fax Number
559-935-2329
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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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