Organization
CITADEL HEALTH EQUIPMENT CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE CARLOS RIOS BETANCOURT (OWNER)
(734) 347-6646
Entity
Organization
Contact information
Practice address
3606 W STERNS RD, #392, LAMBERTVILLE, MI 48144
(734) 347-6646
Mailing address
3606 W STERNS RD, #392, LAMBERTVILLE, MI 48144
(734) 347-6646
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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