| NPI | 1053051417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERLENE CUDIAMAT Managing Partner 702-588-3428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-03-31 |