Organization
AQUABIOVIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAIROVI HERRERA (OWNER)
(347) 367-6001
Entity
Organization
Contact information
Practice address
1148 SPARROW WAY, BREINIGSVILLE, PA 18031-1664
(347) 367-6001
Mailing address
1148 SPARROW WAY, BREINIGSVILLE, PA 18031-1664
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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