| NPI | 1205657798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO LORIGA DIAZ Ambr 919-307-8503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |