TEST-MED VACCINATION SERVICES MEDICAL CORP
Ambulatory Health at Santa Fe Ave, Fullerton, CA

License number
California G86894
Category
Ambulatory Health
Type
Health Service
Owner
Name: JEFFREY MARCUS WILMOTH
Title: SECRETARY
Phone: (415) 595-6734
Address
Address
140 E Santa Fe Ave, Fullerton, CA 92832
National Provider ID: 1760684526
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TEST-MED VACCINATION SERVICES MEDICAL CORPORATION

Charleston, WV  -  Fullerton, CA

Status:
Inactive
Registration:
Oct 23, 2006
Addresses:
707 Virginia St E, Charleston, WV 25301 (Physical)
PO Box 1039, Fullerton, CA 92836 (Mailing)
Ct Corporation System, Charleston, WV 25313 (Physical)
140 E Santa Fe Ave, Fullerton, CA 92832
State ID:
C2545365
Business type:
Articles of Incorporation
President, President, CEO, CFO, Chairmans:
Md Regina L Williams (Director), 4085 E Ln Palma Ave SUITE A, Anaheim, CA 92807,Jeff M Wilmoth Secretary, Treasurer, inactive, 4085 E Ln Palma Ave SUITE A, Anaheim, CA 92807,Regina L. Williams President, President, CEO, CFO, Chairman, inactive
Agent:
C T Corporation System,Los Angeles, CA 90017 (Physical)

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