| NPI | 1437572864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER COSTA Individual 775-783-6190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 7813) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-01-21 |