| NPI | 1265781603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENO E UDI CEO 619-255-1564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA C3484675) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2012-08-30 |