Organization
ANGELS ON EARTH DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE I DE LOS SANTOS (ADMINISTRATOR)
(956) 601-0588
Entity
Organization
Contact information
Practice address
4810 N RAUL LONGORIA STE 4A, SAN JUAN, TX 78589
(956) 601-0588
Mailing address
4810 N RAUL LONGORIA RD STE 4, SAN JUAN, TX 78589-5178
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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