NPI | 1366513442 |
---|---|
Entity Type | Organization |
Authorized Contact | AZUKA VALENTINE DIBIE President 773-602-2170 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-11-12 |
Last Update Date | 2008-09-05 |