Organization
SE MEDICAL SUPPLY
Active
Other names
SE Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE WILLIAMS LPCC (OWNER)
(702) 330-6693
Entity
Organization
Contact information
Practice address
5220 FOGGIA AVE, LAS VEGAS, NV 89130-7059
(702) 330-6693
Mailing address
5220 FOGGIA AVE, LAS VEGAS, NV 89130-7059
(702) 330-6693
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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