| NPI | 1194357939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GUSSOW Owner 702-682-1547 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2020-02-10 |
| Last Update Date | 2020-04-17 |