| NPI | 1235430349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY G MAURER Managing Member 702-386-9997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV MP00256) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2023-06-30 |