| NPI | 1538343066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA L SHULL Co Owner 775-885-7536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NV 332BC3200X) |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2008-04-11 |