CLEMENT ETINAYAGOMWAN AGHEDO NPI 1760507248

NPI Information

CLEMENT ETINAYAGOMWAN AGHEDO is a durable medical equipment medical supplies in San Bernardino, CA. The provider is 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. CLEMENT ETINAYAGOMWAN AGHEDO NPI is 1760507248. The provider is registered as an organization entity type.
The provider Is Doing Business As Ace Medical Equipment Supply Company.

The provider's business location address is:

248 E HIGHLAND AVE
SUITE #2
SAN BERNARDINO, CA
ZIP 92404-703
Phone: (909) 882-2640
Fax: (909) 882-2648

The provider's authorized official is Clement Etinayagomwan Aghedo .
The authorized official title is Director and has the following contact phone number (909) 882-2640.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 5/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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