| NPI | 1386424455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN DE ANDA Owner 623-254-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-09-26 |