Provider Demographics
NPI:1043979990
Name:GREGOIRE, CATHERINE DAGMAR (DME PROVIDER)
Entity type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:DAGMAR
Last Name:GREGOIRE
Suffix:
Gender:F
Credentials:DME PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6937 VILLAGE PKWY UNIT 2462
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-6023
Mailing Address - Country:US
Mailing Address - Phone:213-304-2216
Mailing Address - Fax:213-908-1911
Practice Address - Street 1:2117 LEWIS ST
Practice Address - Street 2:
Practice Address - City:HERCULES
Practice Address - State:CA
Practice Address - Zip Code:94547-5470
Practice Address - Country:US
Practice Address - Phone:213-304-2216
Practice Address - Fax:213-908-1911
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-08
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335G00000XSuppliersMedical Foods Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332U00000XSuppliersHome Delivered Meals