Proforma Medical Sourc
Proforma Medical Sourc is a Durable Medical Equipment & Medical Supplies in Las Vegas, Nevada. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
800 N Rainbow Blvd Ste 215Las Vegas, NV 89107-1189
Phone: (800) 875-8455
Fax: (702) 948-7616
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X |
|---|
Record details
| NPI number | 1962429621 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marie Villanueva — Vice President · (800) 875-8455 |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | August 1, 2008 |
| Mailing address | 800 N Rainbow Blvd, Ste 215, Las Vegas, NV 89107-1189 |
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