| NPI | 1437320462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. FENNINGER Dme Fitter And Supplier 719-576-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2008-03-18 |