| NPI | 1588603492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTE JOHN VENTURA FARINAS Manager 702-569-3734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV 397953536) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2019-06-21 |