| NPI | 1164701777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUNEQUITA MESHA MELENDEZ Manager/ Ownwer 253-882-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602658954) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2011-08-12 |