| NPI | 1619463577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA VIZCARRA President/Owner 480-473-0615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-07-03 |