| NPI | 1205160272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIELA MASSO President 702-335-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 1w8540846) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-09-24 |