NPI | 1407043532 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID VADIM MIRETSKY Owner 323-933-1616 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2007-10-03 |
Last Update Date | 2007-10-03 |