| NPI | 1366623084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA GHEREGA President 602-279-8066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: AZ 20183915) |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2007-11-21 |