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 |