Organization
MESQUITE MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHELLE WAKEFIELD (PRESIDENT)
(702) 345-4625
Entity
Organization
Contact information
Practice address
330 FALCON RIDGE PKWY STE 400B, MESQUITE, NV 89027
(702) 345-4625
(702) 346-1789
Mailing address
PO BOX 2885, MESQUITE, NV 89024-2885
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
149134400
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100506835
—
NV
Enumeration date
11/16/2006
Last updated
05/23/2018
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