| NPI | 1043073125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALDEN MONTOYA DELGADO Manager 505-738-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-02-01 |
| Last Update Date | 2024-02-20 |