| NPI | 1114344827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON J MAXON MALDONADO Manager 602-265-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |