| NPI | 1467047233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB ESPINOZA Authorized Official 195-470-9795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |