| NPI | 1063693141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA PETROSYAN President 505-271-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 03123020002) |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2008-12-04 |