| NPI | 1487668323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVIA SERNA Owner 505-541-4409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NM 11639) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2021-05-06 |