| NPI | 1457758211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT PALACIOS President 702-605-4671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DE 2014606451) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |