Nickes Medical Supply, Llc.
NPI #1619539335 in Mcclellan, California
Provider Information
- NPI Number
- 1619539335
- Entity Type
- Organization
- Organization Name
- Nickes Medical Supply, Llc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 2, 2019
- Last Updated
- Jul 2, 2019
Practice Location
- Address
- 5443 DUDLEY BLVD BLDG 911
- City
- Mcclellan
- State
- California
- ZIP Code
- 95652-1013
- Phone
- (915) 533-8870
Authorized Official
- Name
- NGOZI KATHLEEN AUSTIN-ELEJE
- Title
- OWNER/MANAGER
- Phone
- (915) 533-8870
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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