| NPI | 1174499362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IANESSA HUMBERT Owner 240-472-1051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |