| NPI | 1194822213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE CORDOVA President 425-774-0083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 600561377) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-05-04 |