Boonma Phommalayvane
Boonma Phommalayvane is a Durable Medical Equipment & Medical Supplies in Rancho Cucamonga, California. Practices as a sole proprietor. Registered with an NPI since 2014.
- In the registry since
- 2014
Practice location Address checks out
8218 9th StRancho Cucamonga, CA 91730-5031
Phone: (909) 731-6206
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Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1972923332 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 23, 2014 |
| Last updated in NPPES | April 23, 2014 |
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