Organization
JC MEDICAL SUPPLIES INC
Active
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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