NPI | 1063117810 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDACE JOY DIAZ CEO 443-854-3307 |
Organization Subpart ? | No |
Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2023-04-03 |
Last Update Date | 2023-04-03 |