| NPI | 1205011970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL C MENDIOLA Owner 360-923-5840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA OT00000867) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |