| NPI | 1417728775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA BOYNOVA President 520-903-8148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |