| NPI | 1528764743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHONNIUSS CHEMWENO CEO 505-389-2279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-01-31 |
| Last Update Date | 2023-01-31 |