Organization · Type 2 NPI

Deangelo Henderson

Durable Medical Equipment & Medical Supplies · Las Vegas, NV

NPI number 1396925129 Active

Practice location

3380 E Russell Rd #104
Las Vegas, NV 89120-3402

Call (702) 487-6221 Map

Fax (702) 487-6623

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000XMP00479 (NV)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1396925129

Deangelo Henderson's National Provider Identifier is 1396925129, issued on Nov 8, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Las Vegas, NV. The record was last updated on Jul 17, 2008.