| NPI | 1548343395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLIVER FLORENTINO Manager 702-889-8414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV H13-00304-1-131902) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2012-02-28 |