| NPI | 1326152653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKANINYENE W ETUK Manager 602-266-4633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20064003) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2020-08-22 |