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Organization

PREMIERE OXYGEN, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER K WENDELL (MANAGING MEMBER)
(775) 883-2004
Entity
Organization

Contact information

Practice address
3107 N DEER RUN RD, STE. 14, CARSON CITY, NV 89701-2406
(775) 883-2004
(775) 884-4550
Mailing address
3107 N DEER RUN RD, STE. 14, CARSON CITY, NV 89701
(775) 883-2004
(775) 884-4550

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MP00369
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100509520
NV
Enumeration date
05/11/2006
Last updated
12/22/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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