Organization
SPECIAL PRODUCTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHEL MENDOZA BANNING (MEMBER)
(316) 516-2605
Entity
Organization
Contact information
Practice address
311 S LAURA ST, WICHITA, KS 67211-1518
(316) 265-4676
Mailing address
3235 N LAKE RIDGE CT, WICHITA, KS 67205-1966
(316) 516-2605
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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