Organization
OZOMOR MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL MOMATE BIABENE (ADMINISTRATOR)
(702) 629-6845
Entity
Organization
Contact information
Practice address
4481 W. RENO AVE, LAS VEGAS, NV 89118
(702) 629-6845
(702) 629-5054
Mailing address
4481 W. RENO AVE, LAS VEGAS, NV 89118
(702) 629-6845
(702) 629-5054
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
NV
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720306889
—
NV
Enumeration date
05/12/2010
Last updated
11/17/2015
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