Provisionam

NPI #1235697426 in Beaumont, Texas

Provider Information

NPI Number
1235697426
Entity Type
Organization
Organization Name
Provisionam
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Mar 6, 2019
Last Updated
Mar 6, 2019

Practice Location

Address
3819 PHELAN BLVD
State
Texas
ZIP Code
77707-2243
Phone
(409) 363-5022

Authorized Official

Name
CARLINE PIERRE-LOUIS CENATUS
Title
OWNER
Phone
(239) 404-9870

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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