| NPI | 1225835192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAAC HERRERA President 505-382-9978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |