Organization
INDYPENDANTSLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACH ODANI (PRESIDENT)
(877) 463-9736
Entity
Organization
Contact information
Practice address
208 MAIN ST, REISTERSTOWN, MD 21136-1233
(443) 677-3704
Mailing address
208 MAIN ST, REISTERSTOWN, MD 21136-1233
(443) 677-3704
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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