Organization
DEANGELO HENDERSON
Active
Other names
Golden Heart Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
DEANGELO D HENDERSON (OWNER)
(702) 487-6221
Entity
Organization
Contact information
Practice address
3380 E RUSSELL RD #104, LAS VEGAS, NV 89120-3402
(702) 487-6221
(702) 487-6623
Mailing address
3380 E RUSSELL RD #104, LAS VEGAS, NV 89120-3402
(702) 487-6221
(702) 487-6623
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MP00479
NV
Other
Enumeration date
11/08/2007
Last updated
07/17/2008
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