Organization
EVANS J MILLS, INC.
Active
Other names
Designed Concepts LC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HENRIETTA E SCOTT (SECRETARY/TREASURER)
(702) 395-3124
Entity
Organization
Contact information
Practice address
6916 ROSINWOOD ST, LAS VEGAS, NV 89131-3597
(702) 395-3124
(702) 430-9460
Mailing address
6916 ROSINWOOD ST, LAS VEGAS, NV 89131-3597
(702) 395-3124
(702) 430-9460
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
R23-00193-2-118471
NV
Other
Enumeration date
03/01/2009
Last updated
03/01/2009
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