| NPI | 1477807998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN CHI NDIKUM Owner 651-486-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |