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Organization
ADVANCED WOUND CARE CONSULTANTS LLC
Active
Organization
ADVANCED WOUND CARE CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA ANN GARRETT RN (MANAGING MEMBER)
(702) 610-3786
Entity
Organization
Contact information
Practice address
1301 BERTHA HOWE AVE, SUITE 9, MESQUITE, NV 89027-7502
(702) 610-3786
Mailing address
PO BOX 2693, MESQUITE, NV 89024-2693
(702) 610-3786
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
NULL
163WW0000X
Wound Care Registered Nurse
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
Other
Enumeration date
11/10/2009
Last updated
10/26/2010
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