| NPI | 1437399540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE HICKS Manager 702-836-3385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV MP00509) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-02 |