| NPI | 1396129292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA A TOLEDO LOPEZ Owner 801-613-1032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-07-10 |
| Last Update Date | 2015-07-10 |