| NPI | 1063710309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILFREDO TOVAR Owner/Manager 301-559-3004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |