PROFORMA MEDICAL SOURC

LAS VEGAS, NV
NPI1962429621
Entity TypeOrganization
Authorized ContactMARIE VILLANUEVA
Vice President
800-875-8455
Organization Subpart ?No
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date2006-07-17
Last Update Date2008-08-01
Business Address
PROFORMA MEDICAL SOURC
800 N RAINBOW BLVD STE 215
LAS VEGAS, NV 89107-1189
Phone number: 800-875-8455
Mailing Address
PROFORMA MEDICAL SOURC
800 N RAINBOW BLVD STE 215
LAS VEGAS, NV 89107-1189
Phone number: 800-875-8455