| NPI | 1174881403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY DAVID SEBASTIAN Owner 623-776-6450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2012-04-24 |