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Organization
AMERICAN ANCILLARIES, INC.
Active
Organization
AMERICAN ANCILLARIES, INC.
Active
Other names
AA MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY RUSSALESI (CCO)
(484) 246-9499
Entity
Organization
Contact information
Practice address
4135 N RANCHO DR STE 110, LAS VEGAS, NV 89130-3494
(702) 368-4477
(702) 368-3543
Mailing address
555 E NORTH LN STE 5075, CONSHOHOCKEN, PA 19428-2490
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
412243425
NV
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
03/03/2006
Last updated
10/12/2025
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