Organization
NORTH VALLEY MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHELBY LEE RICHARDS (DIRECTOR)
(702) 638-1190
Entity
Organization
Contact information
Practice address
3053 W. CRAIG RD #B, NO LAS VEGAS, NV 89032
(702) 638-1190
(702) 638-1542
Mailing address
3053 W. CRAIG RD #B, NO LAS VEGAS, NV 89032
(702) 638-1190
(702) 638-1542
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
731734754
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507173
—
NV
Enumeration date
06/22/2007
Last updated
04/06/2010
Update your record
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