| NPI | 1568815561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GONZALES Owner 702-798-6684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 2427) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2016-07-14 |