Organization
MAVERICK MEDICAL, INC.
Active
Other names
Medical Dynamics Enterprises, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY MAY REAL (OWNER)
(707) 200-2544
Entity
Organization
Contact information
Practice address
276 KINGSBURY GRADE STE 210, STATELINE, NV 89449-9804
(707) 200-2539
(707) 573-0484
Mailing address
PO BOX 1036, ZEPHYR COVE, NV 89448-1036
(707) 200-2539
(707) 573-0484
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Enumeration date
02/16/2011
Last updated
09/06/2023
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