| NPI | 1326094111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA DUBIN Owner 702-736-2999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV MP00257) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |