Organization
SEQUENT CORPORATION
Active
Other names
Foot Solutions of Las Vegas
Organization subpart
No
Provider details
NPI number
Authorized official
DEWITT J PAUL C.PED (PRESIDENT)
(714) 222-7095
Entity
Organization
Contact information
Practice address
10520 S EASTERN AVE, #100, HENDERSON, NV 89052-3900
(702) 838-8111
(702) 838-8115
Mailing address
10520 S EASTERN AVE, #100, HENDERSON, NV 89052-3900
(702) 838-8111
(702) 838-8115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
MP00225
NV
335E00000X
Prosthetic/Orthotic Supplier
MP00225
NV
Other
Enumeration date
05/16/2007
Last updated
07/06/2011
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