| NPI | 1205011889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD J CAPAWANA Owner 509-334-4498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 1298150002) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-24 |