| NPI | 1831323260 |
|---|---|
| Doing Business As | MEKONG MEDICAL SUPPLIES |
| Entity Type | Organization |
| Authorized Contact | JACK SENBOUTHARATH Owner 702-508-4803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |