| NPI | 1285197111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMERIA AHMED IBRAHIM Owner/President 424-247-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2020-07-28 |