Organization
MARIANAS MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE MARIE BENAVENTE (OWNER/MEMBER)
(670) 483-2663
Entity
Organization
Contact information
Practice address
PALE ARNOLD RD GUALO RAI, M&H BUILDING, SAIPAN, MP 96950-1877
(670) 233-6671
(670) 233-6672
Mailing address
PO BOX 501877, SAIPAN, MP 96950-1877
(670) 233-6671
(670) 233-6672
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
07/31/2012
Last updated
05/20/2015
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