Organization
BONNEVILLE DME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA VEA (MANAGER)
(801) 541-6137
Entity
Organization
Contact information
Practice address
4956 W 6200 S, # 254, KEARNS, UT 84118-6703
(801) 541-6137
(877) 201-8904
Mailing address
4956 W 6200 S, # 254, KEARNS, UT 84118-6703
(801) 541-6137
(877) 201-8904
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/21/2009
Last updated
05/21/2009
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