| NPI | 1336471663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XUAN LY Owner 763-742-8460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MN 370357722) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2010-02-11 |