| NPI | 1487741617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAZON ROTZ Owner 360-219-1102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 602621899) |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2008-06-16 |