| NPI | 1164421640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A RAMIREZ Owner 314-849-9599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO B0102146A) |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2020-08-22 |