Organization
ROSEMARY TEN BROEK
Active
Other names
International Medical Specialties
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY TEN BROEK (OWNER CEO)
(702) 567-3522
Entity
Organization
Contact information
Practice address
34 W PACIFIC AVE, HENDERSON, NV 89015-7306
(702) 567-3522
(702) 567-8022
Mailing address
34 W PACIFIC AVE, HENDERSON, NV 89015-7306
(702) 567-3522
(702) 567-8022
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003302437
—
NV
Enumeration date
02/26/2007
Last updated
06/25/2008
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