| NPI | 1508294612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE F DIAQUE President 303-755-0335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 04261172) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |