| NPI | 1447632013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALREEN WILLNA JOHN Owner 801-214-9918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2023-07-18 |