Organization
HANNAH AMAEFULA
Active
Other names
Annson Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH AMAEFULA (OWNER)
(972) 602-1641
Entity
Organization
Contact information
Practice address
2306 OAK LN STE 4, GRAND PRAIRIE, TX 75051-8819
(972) 602-1641
(972) 325-2238
Mailing address
2306 OAK LN STE 4, GRAND PRAIRIE, TX 75051-8819
(972) 602-1641
(972) 325-2238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0068058
TX
Other
Enumeration date
11/12/2010
Last updated
11/19/2010
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