Pecos Valley of New Mexico LLC

NPI #1699918672 in Carlsbad, New Mexico

Provider Information

NPI Number
1699918672
Entity Type
Organization
Organization Name
Pecos Valley of New Mexico LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Apr 7, 2009
Last Updated
May 10, 2021

Practice Location

Address
2402 W PIERCE ST
Address 2
SUITE 6E
ZIP Code
88220-3537
Phone
(575) 628-5066

Authorized Official

Name
JENNIFER L JACKSON
Title
SR. DIRECTOR PROVIDER ENROLLMENT
Phone
(615) 465-3334

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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