| NPI | 1043754930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA J WEST Owner 702-602-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV 2895) |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2016-12-12 |