| NPI | 1558186205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVRONBEK RASSOEV Owner 754-219-5733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2025-09-10 |