Organization
ESCENTUALS MEDICAL SUPPLY
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOLA N LEE LPN (DIRECTOR/MANAGER OF OPERATIONS)
(702) 245-1966
Entity
Organization
Contact information
Practice address
5025 S EASTERN AVE STE 4, LAS VEGAS, NV 89119-2309
(702) 245-1966
(702) 947-2248
Mailing address
5025 S EASTERN AVE STE 4, LAS VEGAS, NV 89119-2309
(702) 245-1966
(702) 947-2248
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/10/2011
Last updated
06/07/2011
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