| NPI | 1689382608 |
|---|---|
| Former Legal Business Name | SE MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | ANDRE WILLIAMS Owner 702-330-6693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-11-08 |
| Last Update Date | 2022-11-08 |