Organization
LV MEDICAL SUPPLY SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA VELDERRAIN (PRESIDENT)
(602) 279-2008
Entity
Organization
Contact information
Practice address
3201 N 16TH ST, STE 12, PHOENIX, AZ 85016-7160
(602) 279-2008
(602) 445-9125
Mailing address
3201 N 16TH ST, STE 12, PHOENIX, AZ 85016-7160
(602) 279-2008
(480) 445-9790
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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