| NPI | 1174934020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRINA VASQUEZ Manager 702-830-0869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |