Organization
RAYMOND TRUJILLO
Active
Other names
Advantage Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND TRUJILLO (OWNER)
(575) 541-4409
Entity
Organization
Contact information
Practice address
1685 S DON ROSER DR, SUITE D, LAS CRUCES, NM 88011-4586
(575) 541-4409
(575) 541-4452
Mailing address
1685 S DON ROSER DR, SUITE D, LAS CRUCES, NM 88011-4586
(575) 541-4409
(575) 541-4452
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
03179647008
NM
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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