| NPI | 1295915833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY YURYEVICH MITYANIN President 206-708-7672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602759959) |
| Enumeration Date | 2007-11-12 |
| Last Update Date | 2008-09-11 |