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Boonma Phommalayvane
Durable Medical Equipment & Medical Supplies in Rancho Cucamonga, California
NPI 1972923332

Boonma Phommalayvane is a Durable Medical Equipment & Medical Supplies based in Rancho Cucamonga, CA. Boonma Phommalayvane practices in Rancho Cucamonga, CA. The NPI Number for Boonma Phommalayvane is 1972923332 and holds a License No. (California).

The current practice location address for Boonma Phommalayvane is 8218 9Th St, Rancho Cucamonga, CA and can be reached out via phone at 909-731-6206.

Location: 8218 9Th St, Rancho Cucamonga, CA, 91730-5031
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972923332
Provider Name
Boonma Phommalayvane
Credential
Provider Entity Type
Individual
Gender
Male
Address
8218 9Th St, Rancho Cucamonga, CA, 91730-5031
Phone Number
909-731-6206
Fax Number
Provider Enumeration Date
04/23/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8218 9Th St
City
Rancho Cucamonga
State
California
Zip
91730-5031
Phone Number
909-731-6206
Fax Number
person
Provider Business Mailing Address Details
Address
8218 9Th St
City
Rancho Cucamonga
State
California
Zip
91730-5031
Phone Number
909-731-6206
Fax Number
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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