| NPI | 1366280687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED TANANA President 999-999-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |