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EDWARD EUGENE BERRETH CRTT

>> Durable Medical Equipment & Medical Supplies >> Suppliers

Registrant NPI Number: 1295878601

Individual Registrant:
 EDWARD EUGENE BERRETH CRTT
Gender: M
Sole Proprietor

Location and contact information for practice:
909 12TH AVE  DELANO, CA 93215-2255 US
Tel: 661-725-7438  Fax: 661-725-5868

Contact information for business:
PO BOX 645  DELANO, CA 93216-0645 US
Tel: 661-725-7438  Fax: 661-725-5868

Registration Information:
NPI: 1295878601
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332B00000XSuppliers
Durable Medical Equipment & Medical Supplies
CA100506

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DME00042FCA05




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