| NPI | 1588890008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON JAMES MALDONADO Manager 602-265-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2012-10-15 |