Organization
TORA MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TINO NYAWELO (CEO)
(801) 809-1089
Entity
Organization
Contact information
Practice address
2880 W 4700 S STE B3, TAYLORSVILLE, UT 84129-2156
(801) 878-4660
(801) 878-4660
Mailing address
2880 W 4700 S STE B3, TAYLORSVILLE, UT 84129-2156
(801) 878-4660
(801) 878-4660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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