Organization
ELEMENT 1B, LLC
Active
Other names
Suppliesdotcom
Organization subpart
No
Provider details
NPI number
Authorized official
JAZZEDYPAUL M CAMPOS (OWNER)
(671) 864-5124
Entity
Organization
Contact information
Practice address
543 GUMA YUOS STREET, TAMUNING, GU 96913
(671) 864-5124
Mailing address
385 FARENHOLT AVE, TAMUNING, GU 96913-3106
(671) 864-5124
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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