Individual
SIMONE LETANG-FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 RAPHUNE HILL RD STE 106, ELITE MEDICAL SUPPLY, ST THOMAS, VI 00802-2905
(340) 779-8116
Mailing address
4001 RAPHUNE HILL RD STE 106, ELITE MEDICAL SUPPLY, ST THOMAS, VI 00802-2905
(340) 779-8116
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
1-13417-1L
VI
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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