| NPI | 1609074194 |
|---|---|
| Doing Business As | JC MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | JOSHUA IGELEKE President 702-870-2850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2008-01-11 |