| NPI | 1154557825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENOBONG PETER Owner 702-452-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV MP00590) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |