| NPI | 1346560711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK IANNINI President 520-319-3956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AZ 22963) |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |