| NPI | 1366177321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA VIKTOROVNA BOYKO Owner 408-966-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-07-22 |
| Last Update Date | 2024-04-04 |