| NPI | 1518788298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKO L MASON Owner 602-881-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |