| NPI | 1013113794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH STEPHANE Z. MONGU President 480-917-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20161365) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-12-19 |