| NPI | 1144978156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL VASQUEZ Secretary 800-282-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2022-03-18 |