Organization
HERNIMARC DURABLE MEDICAL EQUIPMENT
Active
Other names
HerniMarc Durable Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MUTURI (PRESIDENT)
(480) 878-4561
Entity
Organization
Contact information
Practice address
1350 E MCKELLIPS RD STE 3, MESA, AZ 85203
(480) 878-4561
(480) 878-4589
Mailing address
1350 E MCKELLIPS RD STE 5, MESA, AZ 85203-2739
(480) 878-4561
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
01/25/2018
Last updated
05/31/2018
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