| NPI | 1396986766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL VALLEJOS Owner 505-861-5473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |