Organization · Type 2 NPI
Martha Dale Kristiansen
Oxygen Equipment & Supplies (DME) · Mccomb, MS
NPI number
1629257084
Active
Practice location
1413 Aston Ave
Mccomb, MS 39648-2827
Fax (601) 684-5116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oxygen Equipment & Supplies (DME) Primary | 332BX2000X | 057128480 (MS) |
Oxygen Equipment & Supplies (DME): Definition to come...
Other oxygen equipment & supplies (dme) providers in Mccomb
About NPI 1629257084
Martha Dale Kristiansen's National Provider Identifier is 1629257084, issued on Nov 1, 2007. The primary taxonomy on file is Oxygen Equipment & Supplies (DME) (332BX2000X), and the practice location is in Mccomb, MS. The record was last updated on Aug 12, 2008.