Organization · Type 2 NPI
Jethro Medical, LLC
Nursing Facility Supplies (DME) · Fresno, CA
NPI number
1366855025
Active
Practice location
2142 N Fine Ave
Fresno, CA 93727-1513
Fax (559) 494-4900
Mailing address
2142 N. Fine Ave.
Fresno, CA 93727-1513
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nursing Facility Supplies (DME) Primary | 332BN1400X | None listed |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | None listed |
Nursing Facility Supplies (DME): Definition to come...
About NPI 1366855025
Jethro Medical, LLC's National Provider Identifier is 1366855025, issued on Jun 10, 2014. The primary taxonomy on file is Nursing Facility Supplies (DME) (332BN1400X), and the practice location is in Fresno, CA. The record was last updated on Oct 28, 2014.