| NPI | 1063869980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD LAMBERT Owner 928-778-6466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 21098382) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2023-10-25 |