| NPI | 1942184783 |
|---|---|
| Doing Business As | BEAUREGARD MEDICAL SUPPLY |
| Entity Type | Organization |
| Authorized Contact | CWENTEENIA LACOLE WILSON Owner 702-832-7060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2025-08-04 |