| NPI | 1265422885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ANN TISEO President 702-395-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 1000155424) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |