| NPI | 1104870617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN IGBOAMAZU Chairman/Part Owner 702-388-1299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: NV 1001100581) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2020-08-22 |