Organization
DICARRE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUMBERTO FONG (VP)
(732) 337-6492
Entity
Organization
Contact information
Practice address
500 N RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89107-1082
(732) 337-6492
Mailing address
500 N RAINBOW BLVD, SUITE 300, LAS VEGAS, NV 89107-1082
(732) 337-6492
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
2000266424
NV
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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