| NPI | 1205517166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIASNICK MINASYAN Owner 916-813-6399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-08-09 |