| NPI | 1053879080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIOVANNI CARRILLO Owner 754-225-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2020-07-27 |