| NPI | 1083646426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDELL G MATAS President 425-646-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: WA 601342163) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 601342163) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2009-06-26 |