| NPI | 1578740148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA FILENE SPEERS-WHITE Sole Proprietor 612-522-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-01-26 |
| Last Update Date | 2008-06-16 |