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 |