| NPI | 1194972240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO MAGLONCIO DEOCAMPO President 702-656-8312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV MP00551) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2009-06-18 |