| NPI | 1316196702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALINDA CASTANEDA Owner 505-323-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM FA0053735/PT0060416) |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |