Organization
110 DME STORE LLC
Active
Organization
110 DME STORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARINDA HUEBNER (MANAGING DIRECTOR)
(609) 246-5397
Entity
Organization
Contact information
Practice address
388 ONE HORSE RD, ROSWELL, NM 88201-0544
(609) 246-5397
Mailing address
388 ONE HORSE RD, ROSWELL, NM 88201-0544
(609) 246-5397
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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