Organization
DIVINE HEALTH PRODUCTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE BICH PHAN (OWNER)
(702) 877-4000
Entity
Organization
Contact information
Practice address
501 S RANCHO DR, STE A2, LAS VEGAS, NV 89106-4828
(702) 877-4000
Mailing address
501 S RANCHO DR, STE A2, LAS VEGAS, NV 89106-4828
(702) 877-1777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
07/30/2008
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