| NPI | 1134305527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECILIA DE LEON Owner 907-336-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AK 744310) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-23 |