Organization
NICKES MEDICAL SUPPLY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NGOZI KATHLEEN AUSTIN-ELEJE (OWNER/MANAGER)
(915) 533-8870
Entity
Organization
Contact information
Practice address
5443 DUDLEY BLVD BLDG 911, MCCLELLAN, CA 95652-1013
(915) 533-8870
(915) 533-0078
Mailing address
2820 N STANTON ST, EL PASO, TX 79902-2509
(915) 533-8870
(915) 533-0078
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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