| NPI | 1205175254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YELENA S TRAKTINSKAYA Owner/Director 303-261-5494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: CO 27706797) |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2014-12-04 |