| NPI | 1235843632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PATSY TARANTINO Owner 702-575-4227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |