| NPI | 1346496023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI PISOTTI Office Manager 505-292-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NM 1513) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |