| NPI | 1356652432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMRAN VICTORY President 778-882-8381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2010-06-23 |