| NPI | 1598394801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAN LAZARO CARNERO Manager 786-344-7829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2022-05-13 |