| NPI | 1366709784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNY JAMAL MOTRAN Manager/Doctor 301-519-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 01450) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |