| NPI | 1114542792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IULIA RUS Consultant 301-204-6956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-06-10 |
| Last Update Date | 2020-06-10 |