| NPI | 1396329058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NUTTER Owner 360-921-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |