| NPI | 1215042007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL DIANE SORIA Manager 623-544-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20020638) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2020-08-22 |