Organization
DONA ANA MEDICAL SUPPLY
Active
Parent organization
DONA ANA MEDIAL SUPPLY
Other names
Linco
Organization subpart
Yes
Provider details
NPI number
Legal business name
DONA ANA MEDIAL SUPPLY
Authorized official
MR. ABRAHAM T. GONZALEZ RRT (PRESIDENT / OWNER)
(575) 257-7174
Entity
Organization
Contact information
Practice address
116 NOB HILL DR, RUIDOSO, NM 88345-6044
(575) 257-7174
(575) 257-5362
Mailing address
116 NOB HILL DR, RUIDOSO, NM 88345-6044
(575) 257-7174
(575) 257-5362
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
57976
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65801571
—
NM
Enumeration date
06/09/2014
Last updated
06/09/2014
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