Organization
MARIANO PRIME LLC
Active
Parent organization
MARIANO PRIME LLC
Other names
MD Wholesale
Organization subpart
Yes
Provider details
NPI number
Legal business name
MARIANO PRIME LLC
Authorized official
MR. MARK SURLA MARIANO (GENERAL MANAGER)
(671) 649-5833
Entity
Organization
Contact information
Practice address
255 FARENHOLT AVE, TAMUNING, GU 96913-3209
(671) 649-5833
(671) 649-5830
Mailing address
255 FARENHOLT AVE, TAMUNING, GU 96913-3209
(671) 649-5833
(671) 649-5830
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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