904 WEST MAIN LLC
Organization (NPI-2)
Active
Durable Medical Equipment & Medical Supplies
Provider Information
- NPI Number
1235964172- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 615 W BROADWAY, FARMINGTON, NM, 874015910
- Phone
- (505) 535-4196
Specialties & Taxonomies
Durable Medical Equipment & Medical Supplies
Primary