Organization
XIBALBA TECHNOLOGICAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB VICKERS (OWNER)
(872) 356-1650
Entity
Organization
Contact information
Practice address
1409 SHERIDAN RD, KENOSHA, WI 53140-4443
(872) 356-1650
Mailing address
1409 SHERIDAN RD, KENOSHA, WI 53140-4443
(872) 356-1650
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/02/2017
Last updated
07/21/2022
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