| NPI | 1285227934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELINA ROMANOVNA SARKISYAN President 904-240-8655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 224900000X Mastectomy Fitter |
| Enumeration Date | 2021-02-13 |
| Last Update Date | 2021-11-10 |