| NPI | 1033217393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CARLOS MENDOZA President Owner 612-325-3465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |