| NPI | 1407531205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADRACK JORAM BAMPEBUYE Authorized Official 301-683-4270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |