| NPI | 1164089736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL ANN VASQUEZ-OCANAS Office Manager 602-579-3394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-23 |