| NPI | 1386211621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISETTE MARIA MONTOYA Owner 754-212-2187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2022-06-13 |