| NPI | 1245172063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATINO PARADA CARLA MARIELY Manager 571-307-8777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2026-04-08 |
| Last Update Date | 2026-04-09 |