| NPI | 1528387909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE R SANFORD Owner 702-813-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV MP00677) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2010-05-24 |