NPI: 1457545923
Provider Name: ANDREA MARIE EWERT
Doing Business As: HOME OXYGEN COMPANY, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
Entity Type: Organization
Specialization: Oxygen Equipment & Supplies
Address:
5039 PENTECOST DR STE C
MODESTO, CA
ZIP 95356
Phone: (209) 523-0202
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ANDREA MARIE EWERT is an oxygen equipment and supplies durable medical equipment medical supplies in Modesto, CA. ANDREA MARIE EWERT NPI is 1457545923. The provider is registered as an organization entity type.
The provider Is Doing Business As Home Oxygen Company, Llc.
The provider's business location address is:
5039 PENTECOST DR STE C
MODESTO, CA
ZIP 95356-290
Phone: (209) 523-0202
Fax: (888) 499-0202
The provider's authorized official is Andrea Marie Ewert .
The authorized official title is Owner and has the following contact phone number (209) 523-0202.
The enumeration date for this NPI number is 8/28/2007 and was last updated on 11/6/2019.