| NPI | 1215253919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN VANVALKENBURG Owner 509-438-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602975388) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2010-04-20 |