Organization
NICHE MEDICAL SALES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENLYN DEROCHE OJONTA (OWNER)
(281) 463-4113
Entity
Organization
Contact information
Practice address
7066 LAKEVIEW HAVEN DR, SUITE 125B, HOUSTON, TX 77095-2568
(281) 463-4113
(281) 463-4033
Mailing address
7066 LAKEVIEW HAVEN DR, SUITE 125B, HOUSTON, TX 77095-2568
(281) 463-4113
(281) 463-4033
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
11/03/2006
Last updated
10/21/2014
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