Organization
J. CARLTON ENTERPRISES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY C CENTERS (PRESIDENT)
(505) 344-9933
Entity
Organization
Contact information
Practice address
3715 HAWKINS ST NE STE A, ALBUQUERQUE, NM 87109-4555
(505) 344-9933
(505) 344-9955
Mailing address
3715 HAWKINS ST NE STE A, ALBUQUERQUE, NM 87109-4555
(505) 344-9933
(505) 344-9955
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
02-366280-00-8
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
R6068
—
NM
Enumeration date
12/13/2006
Last updated
08/22/2020
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