| NPI | 1013161447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAI TRIA XIONG Owner 651-999-0268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN A841714800) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2009-10-23 |