NPI | 1275703084 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY AMANDA TEBBS President 253-225-6770 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2008-03-07 |
Last Update Date | 2011-11-03 |