| NPI | 1497203756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J EVANS Owner 702-265-2441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 2002094-045-101) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |