Organization
VERSATILE RESOURCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNABELLE LEE BARRETO LVN (CEO)
(760) 468-3036
Entity
Organization
Contact information
Practice address
5751 PALMER WAY STE G, CARLSBAD, CA 92010-7249
(760) 468-3036
Mailing address
5751 PALMER WAY STE G, CARLSBAD, CA 92010-7249
(760) 468-3036
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1228243
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ATYPICAL
ATYPICAL
CA
Enumeration date
11/30/2009
Last updated
11/30/2009
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