| NPI | 1033543384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISRAEL VILLASENOR Owner 702-568-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV nv20131357790) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |