| NPI | 1376720672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA E LAM Is Coordinator/Personnel Manager 540-213-8449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0101030015) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2012-11-07 |