| NPI | 1174711196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA DOUGLAS ZAMORA Owner 480-899-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ applied) |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2007-10-04 |