Organization
GLC DME
Active
Other names
Skyline
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL EDWARD HERRERA JR. RRT,RCP (OWNER/ REGISTERED RESPIRATORY THERA)
(505) 391-9031
Entity
Organization
Contact information
Practice address
3254 BERKSHIRE RD NE, RIO RANCHO, NM 87144-1620
(505) 391-9031
Mailing address
3254 BERKSHIRE RD NE, RIO RANCHO, NM 87144-1620
(505) 391-9031
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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