Organization
J AND I SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISAAC HERRERA (PRESIDENT)
(505) 382-9978
Entity
Organization
Contact information
Practice address
2509 VERMONT ST NE # C-2101, ALBUQUERQUE, NM 87110-4688
(505) 382-9978
Mailing address
2509 VERMONT ST NE # C-2101, ALBUQUERQUE, NM 87110-4688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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