| NPI | 1467975623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTEBAN LARTIGAU Owner 337-205-0152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: LA 1170) |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2017-07-19 |