NPI | 1336519867 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSE ZVIBLEMAN CEO 314-518-0889 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MO LC1347933) |
Enumeration Date | 2015-09-27 |
Last Update Date | 2015-09-27 |