Waterstream LLC
Durable Medical Equipment & Medical Supplies in Phoenix, AZ. Organization (NPI-2).
NPI number1902764483
StatusActive
Last updated in NPPESJan 13, 2026
Details
- NPI
- 1902764483
- Entity type
- Organization (NPI-2)
- Legal business name
- Waterstream LLC
- Organization subpart
- No
- Enumeration date
- Jan 13, 2026
- Certification date
- Jan 13, 2026
- Last updated
- Jan 13, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
15620 N 35th Ave Ste 4Phoenix, AZ 85053-3892
Phone 602-993-8090
Mailing address
15620 N 35th Ave Ste 4Phoenix, AZ 85053-3892
Phone 602-993-8090
Authorized official
Olajumoke Ikuseru
Manager
6029938090
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