| NPI | 1619253713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMI BALURAN HERMANO Owner/Manager 206-349-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WA 60314741621) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2011-11-02 |