| NPI | 1104190610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY LIU Compliance Analyst 301-652-1818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347E00000X Transportation Broker |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |