NPI 1821455981

Jenco Medical Incorporated Dba Samoa Prosthetics Orthotics Company

Organisation Durable Medical Equipment & Medical Supplies Pago Pago, AS

Practice location

Address: 5958 Litani Sq Nuu'Uli Village, Pago Pago, AS 96799
Phone: (684) 699-0362
Mailing address: 356 E 600 S, St George, UT 84770-3949

Authorised official

Name: Matthew Bracken
Title: Exective Director/Owner
Phone: (801) 455-9300

Registered specialties

Durable Medical Equipment & Medical Supplies Primary

Suppliers Taxonomy 332B00000X Licence 00324 (AS)

Other Durable Medical Equipment & Medical Supplies providers in American Samoa →

Registry record

NPI: 1821455981
Entity type: Organization
NPI issued: 20 Jan 2016
Record last updated: 20 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.