| NPI | 1023673472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL OCANAS Office Manager 602-579-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-05-01 |
| Last Update Date | 2019-05-01 |