| NPI | 1093970832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY J SPARACIO President 360-695-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602843542) |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2010-08-31 |