Organization
OVALLE MOBILE MEDICAL, LLC
Active
Other names
Ovalle Mobile Medical, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
FAZEILA BAKSH-OVALLE NHA-PBT (OWNER/CEO)
(845) 370-2655
Entity
Organization
Contact information
Practice address
111 AVALON GARDENS DR, NANUET, NY 10954-7415
(845) 370-2655
Mailing address
111 AVALON GARDENS DR, NANUET, NY 10954-7415
(845) 370-2655
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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