| NPI | 1558648758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY CETRONE Owner 757-686-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 0101237726) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |