| NPI | 1114350675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN K KULEK Owner 505-344-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 02480150000) |
| Enumeration Date | 2013-08-19 |
| Last Update Date | 2013-08-19 |