| NPI | 1336449172 |
|---|---|
| Professional Name | MIKE'S MOBILE REPAIR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2010-11-03 |