Organization
JC MEDICAL SUPPLIES INC
Active
Other names
JC MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSHUA IGELEKE SR. (PRESIDENT)
(702) 870-2850
Entity
Organization
Contact information
Practice address
4015 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1612
(702) 870-2850
(702) 870-5460
Mailing address
4015 W CHARLESTON BLVD, LAS VEGAS, NV 89102-1612
(702) 870-2850
(702) 870-5460
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
07/05/2007
Last updated
01/11/2008
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