NPI | 1518600857 |
---|---|
Entity Type | Organization |
Authorized Contact | MARISSA DIDOMENICO Owner 561-465-2761 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2022-04-14 |
Last Update Date | 2022-04-14 |