| NPI | 1043667124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON JAMES MAXON MALDONADO Manager/Member 602-265-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |