| NPI | 1477920882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAY F BACA Owner/Contractor 505-720-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NM 94565) |
| Enumeration Date | 2015-09-02 |
| Last Update Date | 2015-09-02 |